HomeMy WebLinkAbout0047 NOR WAY - Health 47 .Nor Way
Marstoas Mills
-- - --- - _ . A = 061001
Town of Barnstable
Department of Regulatory Services
Public Health Division Date t
t 163A �� 200 Main Street,Hyannis MA 02601-
'Date Scheduled �(
Time /"' Fee Pd. •/D(�
Soil Suitability Assessment for SewageDisposal
S
Performed.By: Witnessed By: Lt,
LOCATION& GENERAL INFORMATIONS
Location Address Owner's 6//0'IZ� Owner's Name /1/,—A
��'/��f v`1A✓S'�/l �S /�� Zj Address W? G�G�
Assessor's Map/Parcel: e5��el dG/ Engineer's Name �f ��',�'- �
NEW CONSTRUCTION REPAIR Telephone# ��%'��/�7/U z3G�
Land Use /As . Slopes 3'o S ���/ 2`7 c��UU
p M ,U� , Su ace Stones
Distances rom: Ope Water Body ft Possible Wet ea �tft Drinking Water Wel ft
�rainagerWay ft Property Line ft Other
SKETCH:(Street name,dimensi of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
� w C
Paren terial(geologic) ��}rtl� Depth to Bedrock i
Depth to Groundwater. Standing Water in Hole: Weeping from Pit FACe
Estimated Seasonal High Groundwater -�
- Ln
DETEMNATION FOR SEASONAL HIGH WATER TABLET --
Method Used: Af / y
Depth Observed standing in obs.hole: N in. Depth to Soil mottles: �f ink
Dept�h�o�weeping from side of obs.hole: /V in. Groundwater Adjuatment \
Index Well# 1- 1�p F-- Reading Date:_ A(J Index Well level Adj,factor,,11d&_ Adj.(lrroundwater level .4
PERCOLATION TEST bates�7 w Time 1 l,�?I
Observati - --—— —
Hole# Time at 9"
v n
Depth of Perc Time at 6"
Start Pre-soak Time @ I 'Time(9"41 ---
End Pre-soak !l• Z�Y
Rate MinJlnch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 'V/
Original: Public Health Division Observation Hole Data To Be Completed on'hack-
***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:XSEPTICTERCFORM.DOC
r
DEEP.OBSERVATION HOLE LOG Hole#�_
Depth from Soil Horizon Soil Texture .Soil Color Soil Gther
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
(1 i tea�icy.%Graven
G=` 32. !a r Se 3 47/t arI4 u
2 C Ctav-u 5m14 Z6-y 7/ jave
DEEP OBSERVATION HOLE Z
LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
_ g (Structure,Stones,Boulders.
onsis en % m
IOY44KIi k1J�
=' 3� t�; /o
eo vse :7.T7 7
r 0 A
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
C itec 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.
s
Flood Insurance Rate May:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No= Yes
M Within 100 year-flo-^d 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 pe ous material?
Certification Z /
I certify that on �, (date)I have passed the soil evaluator examination approved by the
Department of E vironmental Protection and that the above analysis was performed by me consistent with .
the required trai ' p rtis a rience described in 310 CMR 15.017.
Signature y Date
t
Q:\SEVnCVERCFORM.DOC
TOWN OF BARNSTABLE .
LOCATION VdV' SEWAGE#
VILLAGE !M&r k) &Ud 4 SSESSOR'S MAP&PARCEL
INSTALLERS NAME&PHONE NO. O rbwrS
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) - '500 C AMJI(3S (size)_ .33s5 X o9,l
OF BEDROOMS y'
OWNER t S."?
PERMIT DATE: QI f�_ COMPLIANCE DATE: a
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
9 i d Ej
lq,L(
�scf —
� C--
fl 'i
70 'r-7S V/
LOCATIONa SEWAGE PERMIT NO.
VI L:l AG E
INSTA LLER'S NAME & ADDRESS
JvG, /9 ,
BUILDER OR OWNER ,`.,
7�0 /I//4-e- sa
DATE PERMIT ISSUED -i3�77
DATE COMPLIANCE ISSUED -9 -,-1 Cl�
r.
f -
i
i.
7
offl ZX I-
No. Fee 1190
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
(� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Yicatiou for at. ont 6 6tem Cougtructfon .Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. � VOW Owner's Name,Address,and Tel.No"`
S,-i.V.�1
As s r' Map/ rc 1 t c� �py�s 4 j --h Q
Installer's Name,Address,and Tel.No. t�o OT�wj Designer's Name,Address and Tel.No.
(oa 1 a3 sa l � s S ('''� lie, a�
Type of Building: sp d,4C Dwelling No.of Bedrooms I Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) __ gpd Design flow provided \ gpd
11
Plan Date _ �, dLO to Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil 1�'C,2e _136,,` (,
Nature of Repairs or Alterations(Answer when applicable)
S-e e S-P r ub-C. 0-eS"Zr Q
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 an not to place the s tem in operation until a Certificate of
Compliance has been issued b this o d of Health.
Sig Ci Date
Application Approved by 6? Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
' No. �� l r # Fee
.-. /00
THE COMMONWEALTH OF MASSA6USET_TS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
1 Yication for �i.5 o�aY 5ten�
�� _ . - � �p �ongtruction Permit
Application for a Permit to Construct( ) Repair( ) Upgrade( )' Abandon( ) ❑ Complete System ❑Individual Components
Location Aiddress or Lot No. + � �C C (.,,� Owner's Name,Address,and iel.No.
AssO"� --� ( L� a ' , �.c '� fi,�,,,, S= IV
, r' Map/P5rck1 d
Installer's Name,Address,and Tel.No. S c , g J G go 3 I( c Desi ner's Name,Address and Tel.No.
5 Po 1 a`' 5 �,
Type of Building: j l
�- ��(}� --Id
~ Dwelling No.of Bedrooms (� ( Lot Size sq. ft. Garbage Grinder ( )
^». Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
+Design Flow(min.required) gpd Design flow provided gpd
Plan Date I() Number of sheets Revision Date
Title C7 1
Size of Septic Tank Type of S.A.S. - -
-Description of Soil P-p 3t,, LC
r Nature of Repairs or Alterations(Answer when applicable)
_Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
-accordance with the provisions of Title 5 of the Environmental Code�an not to place the stem in operation until a Certificate of I
Compliance has been issued b this`Board of Health.
Sig 1 k\ !3 Date
Application Approved by D/i� (� Date
Application Disapproved by: v Date
• for the following reasons
y
Permit No. Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by
at 14-1 N O 2 W a ui M g i Dc n � Wit ', has bfxn cQmstructed in accordance
v +
with the provisions of Title 5 and the for Disposal System Construction Permit No. ter" � dated
Installer I S and�-e ,(C)n Designer 1� &S S U r V.` `..
#bedrooms Approved design flow gpd
The issuance of this pefmit shall not be construed as a guarantee that the system will furotion as designed.
X!�''' /Date 131g 'IU - Inspector �l
✓——_—No_ tD�D�l � —— -- _—— — -44�
Fee`
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Oigpool *pgtPm Construction Permit
Permission is hereby granted to Construct ( ) Repair (X) Upgrade ( ) Abandon_ ( )
r System located at t.l 7 N 0 2 W AMti,S}cr>S N�,
v
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions. '
Provided: Construction
�must
'd coommleted within three years of the date of thi erm't.,'
Date y r7CJ %L/ Approved by ,
Town of Barnstable
`"E "o Regulatory Services
Thomas F. Geiler,Director
* BARNSI'ABLE,
9�A sb �0�' Public Health Division
'E1 39. Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:
'( � II
Designer: S U lw Installer: -1 S d S
Address: Address: 2 3 �Ak qz I S
6S*onwtC �M P, 02
On U ZS- lr�.(�l S G 6�-05 was issued a permit to install a
(date) (installer)
septic system at.-474l/Uf2' '"I(U5 based on a design drawn by
( ddress)
dated 1"Z-7,'(U AVIS(r m 6 — 1 ¢ — t 0
(designer) 4�'�►'� !_�5 _�5 d-CL.\/e-TY 3:;K2
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 by designer to follow.
OF M4Ss9
(Installer's Signature) ono DAD. cG A
FLAHERTY, JR. N
No. 1211
Ili 8I �FGIsTF_
esigner' ig ture) ( f x Des s a p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
v
t p4!iA
9a, CERTIFICATE OF ANALYSIS
\'�„s Barnstable County Health Laboratory 52
-- Report Dated: 3/31/2005 ^p05
Report Prepared For: L
Order No.: G0529573
Timothy Silva&Lee McConnell
47 Nor Way
Marstons Mills, MA 02648
Laboratory ID#: 0529573-01 Description: Water-Drinking Water
Sample#: 29573 Sampling Location 47 Nor Way Marstons Mills,MA Collected: 3/30/2005
Collected by: L.McConnell Received: 3/30/2005
Routine
ITEM RESULT UNITS RL MCL Method# Tested
LAB: Inorganics
Nitrate as Nitrogen BRL mg/L 0.1 10 EPA 300.0 3/30/2005
LAB: Metals
Copper BRL mg/L 0.1 1.3 SM 3111B 3/31/2005
Iron 0.85 mg/L 0.1 0.3 SM3111B 3/31/2005
Sodium 14 mg/L 1.0 20 SM 3111B 3/31/2005
LAB: Physical Chemistry
Conductance 130 umohs/cm 1 EPA 120.1 3/30/2005
pH 5.7 pH-units 0 EPA 150.1 3/30/2005
Sample has higher than average levels of Iron that may have cosmetic effects(such as tooth or skin discoloration)or aesthetic
effects(such as taste,odor,or color)of the drinking water.
Approved By:
(La ireetor)
v
cd
RL = Reporting Limit
MCL=Maximum Contaminant Level
Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605
' NO.�W ZpU3.OZb Fee—-----
BOARD OF HEALTH
TOWN OF BARNSTABLE
Rppricationfor'Vell Cootruction jerrnit
Application is hereby made for a,[permit to Construct ( ), Alter ( ), or Repair (4an individual Well at:
!y ju m W a pAaiS(o.,S M i S — — 0(0 00 --- —
Location - Address Assessors Map and Parcel
/Lj ex
Owner Address
w l� '� it 1) ,ll -l-- ° �x �o aJ X -�rk M exy9 -
Installer — Driller T -- Address
Type of Building
Dwelling -
Other - Type of Building-- -----_ No. of Persons----------__�__—_—_______
Type of Well " ,t --- Capacity-----------------.—
Purpose of Well--Ds11'c L.,
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed i�.�wo — V 109103 --_
date
Application Approved By —___— _
ate
Application Disapproved for the following reasons: ----------_—_—_—_-____—_—__—____—_
- - --- ------- /W;a
date
Permit No. __ Issued--- --- ---
BOARD OF HEALTH
TOWN . OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired
by--- D A S 1/ _
Installer
------------- --------
at y 7 tea! c�u l
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well rot ction
Regulation as described in the application for Well Construction Permit No:"`W2oo3-oZv Dated=t_=7 o-----
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-- Inspector------------- ------
r tea �
a -
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zippricat ion-for Veil CootructionPermit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (�an individual Well at:
—ovation — Address Assessors Map and Parcel
Own/err Address
SLv (r w IJ f ,I!'- /� I!�,,x %6o of h /t�cx •oJ(,Yy
Installer Driller �— _ — Address
Type of Building e
Dwelling ��'� s __--_-— ----
Other - Type of Building-=--_-__—_ No. of Persons--- ------------_____
Type of Well Capacity- /
Purpose of Well <�';, w��� , ---------------------
Agreement: /
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed �)". A c — _S f J9/o_? —
date
Application Approved By �s7 — ate
Application Disapproved for the following reasons: ------------_ _____—___— -_
- —_------ —_-- - ---- date
Permit No. W2M3-p2Q — Issued-- Z- d3 --- - -----
date
,
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ' ), or Repaired
by--- ---=-- b A S c //
-------------------
Installer
at—��7 '
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well rot�tion
Regulation as described in the application for Well Construction Permit No. W-7�-3-��V Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---- _ Inspector
,._ ------------ ----------_- - _w_.-.--------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Iverr Con5truct ion Permit
No. Fee- r-
Permission is hereby granted 10 A
to Construct ( ), Alter ( ), or Repair (✓) an Individual Well at:
No. — V 2 44j"14 ---- - - -----------------------------
Street
as shown on the application for a Well Construction Permit
No.- 2 vD'3- O2U ---_--------------
/�
DATE
Board of Health
F
NO................J`_.. .`%............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...............TOM. ..............OF.............EARNSTAF3L,E...............................:............
Appliration for Disposal Works Ton.strnrtiun Prrmit
Application is hereby made for a Permit to Construct (x ) or Repair ( ) an Individual Sewage Disposal
System at:
Lot....... 4 ---••--•-••-----••--••---••--•............
.Locat'on-Address or Lot No.
........... Q tir. .LA. ,n��c�CR�._.�°^�.........••--•.._..._ .... -!-4.......?.At:........z.A..........�:-vMRJ.:r-.-.....•••••......
p,owner Address
...........�,1.+v-�n./-.........�9.1..?............................................ -••---...........---•--.•--- ----....................-•-•-•--•------•--.
Installer Address
Type of Building Size Lot---125.,-Q5.-4-.....Sq. feet
Dwelling—No. of Bedrooms...........................................Expansion Attic (,40) Garbage Grinder (�)
aOther—Type of Building ..,.......................... No. of persons--.......................... Showers ( ) — Cafeteria ( )
a' Other fixtures ...........................
W Design Flow._- 110---gallons--per per day. Total daily flow.................. . .4..•...._.......gallons.
WSeptic Tank—Liquid capacity.l.Q.Ugallons Length$.'=611.. Width.4_'..-10.."Diameter---------------- Depth5'.=.4_"..
xDisposal Trench—No. .................... Width-.................. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........1----------- Diameter.......6-'.--..... Depth below inlet...6.............. Total leaching area......2bZ_...sq. ft.
z Other Distribution box ( x) Dosing tank ( )
'-' Percolation Test Results Performed b}Cape Cod Survey ConsultantsDate---Sept., 1 1977
a,a Test Pit No. 1-.....2.......minutes per inch Depth of Test Pit.......12........ Depth to ground water.....X 8'............
l Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
..................................
••--------............................
--------------------•------.---•-----------------------•---._.....-------........
O Description of SoiL_WOOd__-loam 0-.�9 '-_,_subsoil.-7_'-4-'--medium---fine_-qra '
x --------•------------------•-.....coarse white...sand...6'...1.. -------------------- wP� �s
--••----•...............................•-•-•----.............--------•----•--•-•---....----•-•-•----•----•-•---............-•-----------------•-•-•......•• ---MICH
UNature of Repairs or Alterations—Answer when applicable................................................... --.---- E.
o V...FE .Y.. ...
------------------•---------•-•---------•--------------•-----•------•-•-----•---------......-•---..................-----•------•----------------...•----•---- `?------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sys ith
the provisions of iITIE 5 of the State Sanitary Code—The undersigned further agrees no S em in
operation until a Certificate of Compliance has been issued by the board of health.
Sied•-• • p• -'tom"'......-•-� �. ---------------- ---_--------------------_....
Da
Application Approved By---/ 111 ...... z..................•--_.._. �3 � �
Date ........_._
Application Disapproved for the following reasons:..............................................................................................................
----------------•-----...---•-••--------------------------.••-•-•----.........-•------•-----------_•------------•--------------...--------•--------------------•-•------•----•------------.........
Date
PermitNo......................................................... T_._.Issued_.......................................................
Date
I {
}' No. •--• :, t�"�•�� FEE..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............:..T0WN..............O F..............SARNg'I'IOLZ----..............:....-•-•--••----.....-_.
,Kpptiratilan for Disposal Works Tonstrnrtion Frrmit E.
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at: ,.1 T
......1?=*44 ,�'!l 6' .!�1(!Q�!.---• 44A. �tu�l;► �� ...---•..................•-----LQt..A......................................................
--- .....
L I a'on- dress or Lot No.
-.......IIAN .n._..Q........ �c'..P -- . . ✓ ......••-•----......• ..#...... ._4.!' '.......... .4_..........C=.:�M.M..I.r.................
Owner Address
...........r4 ll.......... � �............. Address...............................................
Installer,
Type of Building Size Lot....1a.5-rg54.....Sq. feet
Dwelling-No, of Bedrooms.................:...3.--_................Expansion Attic (40) Garbage Grinder (Ah)
144 Other—Type of Building ............................ No. of persons.... ...................... Showers ( ) — Cafeteria ( )
a` Other fixtures ....................
...... .. •-_.. .•••••••••...............•--•......•. ------._......•••------------••••-•••••.....................--••-•...
Design Flow _11.0... l szn, r r bj#dr3041~�per day. Total daily flow..................a3D-_-_-___-----•._••gallons.
WSeptic Tank—Liquid capacity..],4 Ql allons Lengths�_-, 't._ Width.4—A-10!IDiameter................ Depths
x Disposal Trench—No.-------.-••-------- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------I.......... Diameter.......6!........ Depth below inlet...5. ............ Total leaching area....._2,57...sq. ft.
Z Other Distribution box (x) Dosing tank
Percolation Test Results Performed.b}Cali _-C-ofd...Su±ii�ey...Condu1-t�antSDate....u-P..pt.....1-r...19.7.7
,`j Test Pit No. I......2.......minutes per inch Depth of Test Pit.......�,2•!....._ Depth to ground water.....3$!.._.._ .-.
„s.
Test Pit No. 2......:.........minutes.per inch Depth of Test Pit.......:.....,._.... Depth to ground water........................
....................••-- ............---------......---------------------------........----.............------........................--.....---------
0 Description of Soil... S?t?! __. .5?s Ytt...Q....� -e-r- t`b l� 1�.7.!- 9_!-..medi�.m...f ine---gra`v -=,-----
�4 ..------•-•---------•-•---------- ESA '..TnW tl�'.--�r1Ft �]...... ...---•----•---------------------------,c_.--------- ttN �F �A�S
U ma`s. ._.... 9C
W -------•-•--•-••••••-•---••-•••---••-••••-••---•---...---••-••--••......--•----•••-----••....... ......••-• -
U Nature of Repairs or Alterations—Answeit when applicable---------------------- ...............................
, - ..--M!CEA
•...... ...... .•--•••••••----•-....••-••••...-•••••••---•--•-•••••••••......----.....-•••--•-••••••.....•-••-1•-••••••--•----•••-•••••••••-_.........••-• o------RAFFE y
Agreement: y U N 237 6 C
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy ���` th
the provisions of iITIZ 5 of the State Sanitary Code—The undersigned further agrees not a in
operation until ax Certificate of Compliance has been issue by the board of iealth.
Signed--- ---------f-------------W............ ................ ..............................
Application Approved B __ _.. . !. . ._._., -.
........................................
t ,•� � ����.y
01 Date
Application Disappro d for the fol owing orb`" !..... --------•-------------•----------- �• •--------------_
.....................................................•--.....---------------------------•--------......--•••-•--••--••••••••--•-----•••-••-•-----•---•-••-•--•-••••••••••••---••----•••••••-•••••-•---•-
i Date
Permit No.................!........... ....... IssuecL..----------- Date
4 THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
1-• O. ................................... ...........................................
-
....
IlkIrrfaf . nmptiFanrr
/ :HIS IS TO RTIFY, That the Individual 'Sewage Disposal System constructed ( ) or Repaired ( )
(/ a--•--------------------------------------------------Installer---------------------------------------------------- ._ ...........................................
�<;,. /,V
has been instaled in accorict '• a F�/.�!of e'St anit Cep as described in the
application for Disposal Works Construction Pe��.y*No........................................ dale __... .........................................
THE ISSUANCE OF THIS CERTIFICA111tr.�3HAUMOT BE CONSTRUE ".GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE. ................................................. Inspector............................-.......................................................
.
THE COMMONWEALTH OF MASSACHUSETTS , '
y, BOARD OF HEALTH
t` ,3
N •. ,`:; ......OF .» �-•*; FEE... .....
;,�j... is
t' ern rk ntrnrtinn Vrrmit
etmission is hereby granted_,_ _ -------------------------------•--•-.
to Constru t ( f�" Repair (,: ) AIV111"ll isposal System�T .
---
r
• /f � +�.. / Street-- ��' ' f C
as shown on the application for Disposal Works Constructio ermit o..................... Dated.._ ..........
--
DATE.................1.---.. ?-� --------------
FORM �
... •
1255 HOBBS &.WARREN, INC.. PUBLISHERS
Y
i9 /far u� '/
LO•CATIONA SEWA G E PERMIT NO.
Ir/tr
VILLAGE -
l itr3/shl lk
I N S T A LLER'S NAME & ADDRESS
.TAG,
BUILDER OR// OWNER
,DATE PERMIT ISSUED g 7,7
DATE COMPLIANCE ISSUED Q..,a ?. 77 P c,'&t
a
Lot - ado
LOCATION SEWAGE PERMIT NO.
VILLAGE
INST LLER'S NAME i ADDRESS
• 9 He
B U I L D/E R OR OWNER j
DATE PERMIT ISSUED ---
���C�
DAT E COMPLIANCE ISSUED �w -5
..��_� O
�a��
��
3� ® �
C'� ����� �c,��
i
ASSESSORSMAPM
4�
No.-------------------- FARCEL NO: Fee
BOARD OF HEALTH
TOWN OF BARNSTABLE
ApplicationArlVell Congtruction-permit
Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at:
Y o r _ /L -El"bA-as A4 fills — —
L cation — Address Assessors Map and Parcel
4-
M —5 i G h_4 — — — — -- —— — — —
Owner Address
Installer Driller Address
Type of Building
Dwelling "$
Other - Type of Building --- No. of Persons--------------------------------------------------------
,
Type of Well--`�F(fe PO-c- - -�e6°`` --- ---------------------
Purpose of Well `-&A-�---------!*Y - y�' zp=e
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate f C mpliance has been issued by the Board of Health.
Signed �� - - �a /0 /g b
g - ------- — - --- ate d --
date
Application Approved By- - — --- — --- -------- date
Application Disapproved for the following reasons:----------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------
-------------------------------------------------------
date
Permit No. --�v - -4: -.` - — ------------ Issued ---L— - - �'�— -----------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate ®f Compliance
THIS IS TO CERTIFY That the Individual Well Constructed .( ), Altered ( ), or Repaired (✓1
DS ---------------
Installer
at——F�/�= f —`` ———L`''c,�g � --�'t ���-----------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit Now---�`-- —Dated Z ------------ -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----------------------------—----—-
----------— - -- Inspector---------------------------------------------—------------------------------
M{Y(er,F.X,.♦�� '-7tn�Y�"rll"�e.G-�r�'�'^,��..ri:•J Fs.sVS-. '^.��. .2:�#' .,�` '*��:•��„w�.,'-;,.4•�x:q.,. iel:.;:..'Y7°a°'y"tti'•s-K'W'.", iq`,�•-Rn`�Tx��>i`yY.''""1< <"' ....i _ .. ..5..'.,.,i;fi:;
ocl
- ------------✓- ( ' Fee-----=-.----- - -
BOARD O HEALT14, I�
TOWN OF BARNI TABLE
ws 10
t�can,�'or''w 6 ritlCon0ruction ermit
Application is hereby in de for a permit to Construct ( ,. Alter (� .), or Repair ( )an individual Well a't: �l�
a ui v� _
---------------
L6catio — Address Assessors Ma and Parcel
---------------- ----- - ---------------- -
Oddress
A /t-tc�- --- �--------- -s- Y
Installer — Driller Address
Type of Building JJ
Dwellingfro, 1
Other.- Type of Building -------------------- No. of Pers ns------------------------------------------
-------------
a /t e pc, — - ' R'
- Type of Well----'�--PJ�----�------------------ ----- Capacity---------------------------------------------------------�`--
Purpose of Well--A;, ---------�K-- -
Agreement:
The undersigned agrees to install the aforedescribed individual well in acco dance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Reg�}lation — The undersigned further agrees not to
place the well in operation until a Certificate f C mpliance has Len issued b the Board of Health.
Signed - --- --
� date �
Application Approved By-- ---- ---------------------------
date
Application Disapproved for the following reasons:-— —------------- --------------------------{---------------------------------------------------
---------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------
date
Permit No.-- � / _ �_
--------------------------------------------- Issued--------:--- --- --------------------- -----------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CE RT I�Y That the Individual Well Constructed ( ), Altered ( ), or Repaired
bY---------------- --C�'^ ^-` - ---------------------------------
Installer
--- /j cj-- _12 e!�---------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in,the application for Well Construction Permit Nor fF---�------ d O----3 -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-------------------= - —------------------------- — -- Inspector---------------------------------------------------------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
)Vett Con0ruct ion Permit
No ------------------- Fee------------------ x
Permission is hereby granted_4A_--S Ca.�wt - ----------------------------------------------------------------------
to Construct ( ), Alter ( ), or Repair ( ,,-'an Individual Well at:,
No. --------------------- � = -/Uc�/- ' - - �l�_7`szr_� -------� //5---------------------=-----------------------
Street
as sho o app ication for a Well Construction Permit
------------------- Dated------------ - ------- ------------------
---------- ,
Board of Health
DATE--=--- -�---— - —---— -
j
l-"C, t'
i 'mob�V
i
II
I
I �
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$OIL LOG
�Xk1��U1(Y�\Vinv.xlH,�iis..c.4J/w_yi. Wi)Vqx
, 2",PEAS TONE 4• LOAM 9 FILL- 12" MAX.
�'I se
e e °0 '
L
C31ST. 1 e°. ° ° I,BOX I e e °° o•.e24"MIN. e 0
4000 °, °°e 1000— GAL.
GAL. °i° PRECAST OR o o °
SEPTIC 6'Ipo BLOCK ° ° c
°
TANK ��° . e s SEEPAGE PIT o° oI 04
20' MINIMUM
FOUNDATION
le° 1 1 '�
_ I 1 /: WASHED STONE
1 SCALE- I"=
ELEVATION SKETCH 10, 'ERC. RATE ewes zl_ _
TEST BY: e�4.�.�.T..vGf.✓i'" r/.6,k' Sme/
` SCALE I = 4 TOWN INSPECTOR' ey- * &#yV_
BACKHOE OPERATOR a.l Q�-�'^r �•'�'o
/ -/Owww s GCs—,OGTi / ?;4/k r' ;-,440" dI TEST MADE'ON - 4yAc/>T 1° /9-22
�"7'.�E r✓G'T'v°E:� �`./'rrrio°t..Jler /��e�..../ �•+:�-" SB Z• �.�• �� ���� __
.e:`c�a C..+K�s-,elC-,� .C� Win✓ ✓¢,C Tc..aa.G.. r e5r:Z� / ` �o (,
�� �r`I►�' �a..ire►/e� ��-mow c+,� ,.�.y„�,. �"acvs✓ ,r'�
`ew
�`� A PB'�i,�'�eru�1?eG�.C.+r+,•1> +�"ysa+� f ri � f
-oka c M,C fs
ROBERT
r. DAYLOR 1�1
r.
de
q't 0 / a
A
tp
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".'As'�� .\ _� �J PIT "�, ••' '+ \ !
\ \ J
u i `YLOR /�4
2
ELEVATION SCHEDULE 0-13'�de_ a PRO-POSED SITE PLAN
I. INV. AT FOUNDATION
_ SEWAGE SYSTEM DESIGN
2. 1 NV. INTO SEPTIC TANK = i' IN
3. .1 NV. OUT OF SEPTIC TANK = %� I _.t�a-s' ' .�}° a'�o.v 5 . "� , ���55
4. 1NV. INTO DISTRIBUTION BOX = SCALE I„=�0' 3arr %-r 19�7
5. 1 NV. OUT OF DISTRIBUTION BOX
6. INV INTO SEEPAGE PIT = i,: `, CAPE COD SURVEY CONSULTANTS
ROUTE 132
7. ;BOTTOM OF PIT = .r Y HYANNIS,MASS.
A DIVISION BOSTON SURVEY CONSULTANTS, INC,
8. �OTTOM OF STONE LAYER
1
i'
a�
SOIL LOS
I
\Xx id U<W\V i nvM o►ri ii ui JUNV/�a/i)y�vx /o
2..PEASTONE - LOAM B FILL 12� MAX. G.�ooAG AJM /OQ.7 '
o-, ' u D I So
E . e o u C
I 4u C.L DI S T °
BOX
F o ,
I
/O _I 1°24°MIN. ° ° I �!-�'
4000 � °, ore 1000— GAL_ /
GAL. I °'� PRECAST OR o ° ° G1 �`/ /03.y
SEPTIC 6'I� o°° - BLOCK o
I TANK ���.;. o . SEEPAGE PIT Q�
� S
III• ° oe v0 I N, E
f 20' MINIMUMoo
" FOUNDATION
` I %:" WASHED STONE 97•s'
j SCALE: I°= `�
ELEVATION SKETCH r' 10' - PERC. RATIO Gn�C�-'G 2»•�"�/�
` SCALE: I"= 4" TEST BY G/A•i"0'%2��APSIt
TOWN INSPECTOR- �'�++��- �+'✓•�•���
BACKHOE OPERATOR :
TEST MADE'ON : SACl37' !. 1977
c'Tc..edw .s'�./ ," r e�.✓ ,C�.�. s S'B z" z8' o o ' -.�
f •C�c.•�+ ers��p /.�� �M i4c.'►c...,r•-C... s�rezZD / � icy .��, /
/, y 7 7, .4rI1a G�i✓�aatAw,3
k Tta �`sA+�i� �ta.✓ravas 8✓-1.ow cx� '7iil�► T'ow.c/
Q r=- �.oQ•rC.N� �-.vd'C.�, �rc�3�s�1���'Se's�'T3.
f �.rs6 4EtS/Ss�sQ'�fl L.+vYD r:.i/v•G �ti
�_tNdoMq
_ ROBERT F• n.�
y , DAYLOR
No, 20108 1 b y 2. -2 ref
7
9 � u; /ou IG.;. ice; /,�•\ 3 _ �o8x � � >.� tV- ._.. � � - -
I
_ deb®9 + ��- r' "- , - __� ,..,_.• -~_ �. �_. - - - _- - r- ---- -
.t • �6 ��a! ��1 t � �L { Gor/G. Y'"�� Z5*i I/Gx3
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keCA
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o F.
DAYLOR
N� 23741 O
77
II n
EN
I ELEVATION SCHEDULE �"'`'a3z�. s e' o
PROPOSED SITE OLAN
1. INV. AT FOUNDATION =/� L� �
- SEWAGE SYBTEM DESIGN
2. INV. INTO SEPTIC TANK - �
IN
3. 1 NV. OUT OF SEPTIC TANK = /Q7 �??a 1a_r �' s�"1.w m9"a�5 .• /G/�5
f 4. 1NV. INTO DISTRIBUTION BOX = /r7 SCALE: I"=loo' _51urpT 19-77 I
5. 1 NV. OUT OF DISTRIBUTION BOX C- loci
i
t 6. INV INTO SEEPAGE PIT CAPE COD SURVEY CONSULTANTS
ROUTE 132
Z ;BOTTOM OF PIT = �'� HYANNIS,MASS.
_ A DIVISION BOSTON SURVEY CONSULTANTS, INC.
{6 8. �OTTOM OF STONE -rAY E R = f f OQ
TOP OF Raise covers to within 6" of Raise covers to within 6" of STANDARD NOTES
FOUNDATION finish grade install risers as needed , finish grade install risers as needed
EL 87 60 ALL 3 ACCESS POINTS OF EXISTIN' 1) THT PLAN IS F17R THE 49f914�/REPAIR OF A SEPTIC SYSTEM.
SEPTIC TANK AND D-BOX ) J-� /x� 2) ALI INSTALLATION PROCEDURES AND MATERIALS SHALL CONFORV TO 310 CUR 15.000, THE STATE ENYMONIMENTAL CODE,
(82.8) (81.9) gJ g MS 5, AND THE TOWN OF BARNSTABLE SUBSURFACE DISPOSAL REGLEATIONS.
Bot FIr ( ) (81.7) (81.3) (go g) GROUND SURFACE EL__80.3 _ 3) NO DETERUINA770N HAS BEEN MADE AS TO COMPLIANCE OF AV PROPERTY WVRMATION WITH RECORDED DEE
BtSt TCF
80.00 63.10 ProL__ 77
osed 10 7s a) 01 ZONING REGULA770NS. jX�I ,
TO 79.09 BOX 4) TIIS PROPERTY IS NOT SERVICED It '�` U /_ r H 7 Gi�
H-20 5 TISRE ARE NO "OWN WELLS 1f7TH 100' OF ThW PROPOSED SOIL ABSORPTION SYSTEM I
DB-3 MIN 2' LAYER DOUBLE WASHED � � MIN 2' LAYER DOUBLE WASHED )
78.3 2'MIN-3'WAX 1/s•- 1/2• TONE 1/81- 1/21 STONE 6) AZ COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITIMN 6" OF F7N1SHED GRADE '
77.95 7) AL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FOR INSPECY70N. NO S7RUCTURES SHALL BE LOCATED DIRECTLY
INVERT EL a )PON OR ABOVE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE MTH TIM PERFIORMANCE, ACCESS, INSPECTION
Existing Estimated 78.01 10" 7 24
ba 14 - - - -- - 136- PUMPING OR REPAIR.
INVERT EL INSTALL = - -- - -- - - - EFFECTIVE
TEE INV EL - - _- - - -- _ - -= SIDE WALL 8) NO DRIVEWAY, PARANG OR TURNING AREA, OR OTHER JMPERl70US AREA SHALL BE LOCATED ABOVE A SOIL' ABSORPTION
INSTALL I
d GAS 18's2v"BASE BOTT L 74.95SYS7EAl EXCEPT WHEN VENTING HAS BEEN PROVIDED.BAFFLE 77.249) SEPTIC TAA70 GREASE TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" SNIT BASE
Bot EI 73.5 INV EL 77.07 76.95 ThrP� 500 Gal Cone H--20) b z1 a/a•- 1 v2' DOUBLE
INV EL INV EL Chambers witli _4' stone all aro Ad b WASHED STONE TO ENSURE STABILITY AND PREVENT SETTLING.
6" SYVNE BASE: 10) OUTLET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR A MDVMW OF 7IIE FIRST TWO FEET OF 77fEJR LENG77J
3/4'- 1 1/2' DOUBLE � 00 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR W rEW 10"
S = 0.026 WASHED STONE (4-10" x 8-6' x 3= 4 ,k OF DRIVEWAYS OR PARKING OR TURNING AREAS, M WHICH CASE H-20 COMPONENTS SHALL BE USED.
Existing 12) ALL BUILDING SEWER LINES SHALL HAVE AN INNER DIAMETER OF 4"AND SHALL BE CAST-IRON OR SCMW&EE 40 PVC.
11 S = 0.03 hI I 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED.
1,000 Septic Tank 1 S 0.015 „g = 0.01 33.50 �'
To Remain F--- i 14) IN THE AREAS OF EXCAVATION, EAVTING GRADES SHALL BE REESTABLLSHED UNLESS NOTEDAS PROPOSED CON7VURS
40
I I 1 (P4 SAS ('2 83" X 33.50) 15) IF SOILS ARE ENCOUNTERED DURING 7TJE EXCA VA770N OF THE SOJL ABSORPTION SYSTEM, 771AT DIFFER NOTABLY FROM
2 ® 12 INSTALL TEES Trench Config uration Side Load 6 THE DEEP OBSERV4770N HOLE LOG, CONTACT EAS SURVEY, INC AND TOWN BOH BEFORE` PROCEEDING.
AND CAS BAFFLE EL 9 6 Rot Test 16) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO COAWMUCY70N
AT SIDE OUTLET y ` ` . r Pit # -2 17) CHANGES OR REVLSIONS TO SEPTIC DESIGN REVUIRF NOT77CATION
(No Grd Water) TO EAS SURVEY, INC AND DOWN BOH FOR REVIEW AND APPROVAL
I�, {' 1� (f�S6 � e\�t1i �; 18) CONTRAC71OR SHALL NOTIFY TOWN AND DESIGN ENGINEER AT LEAST
l t Y e L� �1 24 - 48 HOURS PRIOR TO-INSPECTMN(S).
C. S 19) MAGNE77C TAPE 7V BE PLACED OVER �P01VL S POINTS
io O �� UW '. 1. 20) SURROUNDING PROPER7785 SERVED Bl
,Yl� v; 4�
DEEP OBSERVATION DEEP OBSERVATION
HOLE LOG HOLE LOG
Test Hole #1 Test Hole #2
(EL = 83.3 f) (EL = 81.6 f)
D h lev Soil Soil Soil D�iPn lev soil Soil Soll
ripn� ft) Horizon Texture Color Horizon Texture Color
(USDA) (Munsell) `tt) (USDA) (Munsell)
0 - 6" 82.8 A LOAMY SAND f0YR4/4 0 - 4" 8f.3 A LOAMY SAND f0YR4/4
6" - 317' 80.6 B LOAMY SAND f0YR5/6 4" - 30" 79.1 B LOAMY SAND f0YR5/6
- 32" - 144" 71.3 C COARSE SAND 2.5Y7/4 30" - 144" 69.6 C COARSE SAND 2.5Y714
/ 10% Gmvel 10% GRAVEL
/ NOTES:
i Parcel within Zone II Contribution
! ! ZONED RF-WP
1 J
1 ( Deep Ohs Hole Date: 6127110 Deep Ohs Hole Date: 5/27/10
l r Soil Evaluator: ED STONE
j /A 1 / Witnessed By: DAVID STANTON WitnSoil Evaluator. ED STONE
J/ I A + ! Perc Rate: p < 2 MIN/IN 0 78" eased By. DAVID STANTON
J Pere Rate: < 2 dtlN/IN Owner of Record
1 Soil Survey Description: CARVER Timothy R. & Amy A. Silva
/'� �1`//� �']J1 % Barn ! Geologic Material Description: CARVER E�MASg MO�
100 8 /✓ 0 ). �/ C. 1 ! Depth to Standing Water: NA Geologic Material eLecteL ourirtisx aroxxetna
of 1(]b/ g r l P 8 Depth to Standing Water: NA Deed Reference
! � Depth to Weeping Water. NA Depth to Weeping Water: NA
! Depth to Mottling(Color): NA Depth to Mottling(Color): NA Bk 8921 Pg. 227
I Est Seasonal High GW: NA Est Seasonal High GW- NA
! USGS Observatien Well: NA US
0bsprvatiea Ne1L
J Date ,•i Last Measurement: NA
Date of last Measurement: NA Plan Reference
!! rr Comments: BACKHOE ADAM RIKER Comments: BACKHOE ADAM RIKER Pl. Bk 314 Pg 7,2
PI. Bk 409 Pg 52
/ r ! Lot 4A
DESIGN DATA
rn
Bdr I
o°"er /'� d''• Number of Bedrooms: 4 Bdr i Bar
ASSESSORS MAP 61 PARCEL 1
- Garbage Grinder: 'NO Bate
817 ,'' / Design Row: 440
(110 Gal/BR/Day x Number of BR) 1Gt I
SI to/S'ep tle n
Septic Tank: To remain 1,0,00
Pla
(Minimum = Design Flow x 200%) 880 Goal a mg I Bdr In
g6) (78b8) Leaching Area: D� ' Barnsta ble MA
I
\� \\ 12.83 x 33.50 = 429.8 SF '
In ( 2(12.83 + 33.50) x 2' = 185.3 SF ,<,,,,, Bottom X r
DM J ' 2 obs \� \\�_, Abandon PerfiTf t'& crush Total 615 SF nr�T.s lvrs Loca ted At
(0- i of F m t( e P P. Tyr
615 SF x 0.74 = 455 GPD 4 /ry Nor Way
Proposed
7 455 pbr6GPD Provided GPD Required 15 GPD Reserve
Marstons Mills, MA
(79.9 , \(780
� zz' 3yo � j ` Prepared For
20'mn
N/F Peternn I CERTIFY 77IAT I AM C(IRREN7ZY APPROVED BY 77IF'DEPARTAlENT OF
Remove �� / �� o6t-Doi ENVIRONMENTAL PROTTsCTION PURSUANT TO AL CUR AS B 70 CONDUCT Tim o thy R. & Amy A. Si Ya
! � (7756) SOIL EVALUA770FIS AND 7NAT 77IE ABOVE ANALYSIS HAS BEEN PERFORMED
/ Top Fhd 67 60 /j' 1 (61.0)�i' 1 ��l I BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE
DESCRIBED DV 310 CMR 15.017. I FURTBER CERTIFY 77IAT Tff RASUL79 OF MY
Lot 4A ( � SOIL EVALUA27ON AS INDICATED ON THE ATTACHED SOIL EVAL'1A77ON MBAC 4 7 Nor Way
j/)K C' 147/ \\ / j �p' f I 100,894E SQ. Ft. ; SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALVANON FVRJ(
/ ARE ACCURA7'ei'AND IN CCORD E 0 CllR 15100 Tf'ROUGH 15.107
(1,0' , 6�7y �t ' i N/F'Iewreace Marstons Mills, MA 02648
20 Existing/1,000 Gal ,
Ord Deok \� // / ) S--Tank to remai i / oeo-ot9
SCALE. 1 " = 20' DATE. June 22, 2010' (Stoneless)
(81.40 7 6)
�7e62 , N/F Cahoon l _ EDW A STi7 CERTIFIED SO UATOR Revised- Aug. 14 2010 (Chambers w/stone)
(8z 0) TBM Brk Step
�r� ' /QwAs
(79.72) (go.r3) EL = 83.00 NIP Rendolph
DA IR4,'' gyp'" J 061-03e
(75.70) ; �� PREPARED BY
�(H Mq
,'/e�� Locus \ NBFOMDna ��� or SS9�ti 7'��
"2,sq
SH of SEAS SURVEY INC.ADAVID �� 141 Rte 6A PO Box 1729
Pndy �'` o� FLAH TY � � ° Sand wlch MA 02563
N0 1- 0 N 11 o h. 508-888-3619 Cell 508-527-3600
1BJ �Q� ,/� / QUOST `��
GRAPHIC SCALE
R°a
20 0 10 20 40 80
40, o
rely \K\`� (7U47)/ /' NOR WAY f�A0 40� ��1 IN FEET
Q ' (PRIVATEWAY) ,
ro1,0 1 inch = 20 ft. Dwg. # 1053dirg
\jass 33) Q' (� LOCUS MAP
N.T.S.