Loading...
HomeMy WebLinkAbout0067 MORGAN WAY - Health 67 Morgan Way.: , P W. Barnstable P `A = 174 001065 i TOWN OF BPA•`RNSTABLE r� LOCATION �(} I l ►C�C��'J�\ Wa\ SEWAGE# d` VILLAGE CrnbVr-`j\k.ASSESSOR'S MAP&PARCEL \-]Q -00\-06 INSTALLER'S NAME&PHONE NO. �-::>C-O M TrCkN%X S-0 s aq%,1-U%09 SEPTIC TANK CAPACITY e}C\S�- Gc,\— LEACHING FACILITY. (type) (size) %;J(,) K NO.OF BEDROOMS Nl` OWNER � f PERMIT DATE: ` a COMPLIANCE DATE: J Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NA 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) P Feet FURNISHED BY A% s 36 Aa :: A :s A � =s'� Q\ s -?S E L4 0 a 1s No. 1 � < Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplitatlon for Disposal 6pstrm ConstrULtion Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot N . (`) Mp �� �,�u C -f Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ��� Installer's Name,Address and Tel.No. Designer's Name,Address,and Tel.No. � ' rcv�VO1__ 5 015 '1 ti�A 0 0V) Vvc� 4V6.G5 Ecq� Type of Building: n r Dwelling No.of Bedrooms Lot Size S J " 4sq.ft. Garbage Grinder 00 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �(7 gpd Design flow provided 3(01 gpd Plan Date l a. Number of sheets Revision Date Title -� 0­1 Size of Septic Tank e}C(531- CEO Type of S.A.S. S �� �� `hcz��r0(-A /� Description of Soil ¢pP Nature of Repairs or Alterations(Answer when applicable) -<�� 2K"� l�A.L�. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Q!% Date Application Approved by Date (0 a Application Disapproved by Date for the following reasons Permit No. Date Issued --------------------------------------------------------------------------------------------------------------------------------------- i No. V 1 l� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS gppiication for MisPOW Opstern Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. � !�Q r�v� vu k-f Owner's Name,Address,and Tel.No. e7� Uv1' Gas wC531 �ns ,tLQ.� Assess is Map/Parcel Installers Name Address and Tel.No. Designer's Name,Address,and Tel.No. oovl Type of Building: n Dwelling No.of Bedrooms Lot Size S J 4sq.ft. Garbage Grinder NO I Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min.required) Z(7 gpd Design flow provided 3(1c) gpd Plan Date x [�� 1'� Number of sheets Revision Date ! Title Size of Septic Tank e (�s�` k OO 0 Type of S.A.S. S � � i1�a\Act, ir.4 Description of Soil ¢r 2C4- i i Nature of Repairs or Alterations(Answer when applicable) < QX'\5 / 1)c Y 2 e� — i Date last inspected: { Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ! accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date -72 Application Approved by Date 10 Application Disapproved by Date for the following reasons l: Permit No. Q 0( 9- QQ>11 Date Issued �-1 (n I 1 �. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(k/ Upgraded( ) Abandoned( )by V� 1�_ at �� `� C''����J(�t,,,� ��[ l.J. _ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NQO � \9�2-) dated Installer �7C� �1, �i�t,.J��" Designer #bedrooms Approved design flow 3 (o 1 gpd The issuance of this permit shall not be ii construed as a guarantee that the system will nction esignKL Date ° r /y Inspector � Q _ - ------------ - -- -- --- ------ ------ - - ---- 7 --- - -- -- - -------- No. U a�R_ I Fee UG THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal *pste Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at k,�. ro C_'N (� LA_ 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:ConstructionCm�us be completed within three years of the date of this/pe t. Date \ ` Approve dby ----" Town' 6A.Barnstab`Ie �oFmE ram, , yP ti� kegulatofy�,Services t Thomas F,Geiler,Director "ASS.1639. `Public Health Division Thomas McKean,Director 200.Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: —t`\ 1 \a Sewage Permit-# �Q\ a—a.�S�Assessor's 1GIap\Parcels=0Q Designer: �t�P RC—�,3 A. "AA:S i PIE -Installer: -rszTT ►. Address: 9 Z3 Rcryze7 e A Address: it!) c Lb. %eA9_j-46-cs,-6 R.7b, YA-44CvT'rfFbA�i . Mai vZ&77� 11 YA�),;,r s, AAA• 624!;,0 � On k,_1 N2, :5C0iT F:P—M-D�L— was issued a permit to install a (date) (installer) septic system at �,� (�pCG► G W based on a design drawn by (address) �E P46 + A 14 A,A�, PC dated� ��� ` VD_ (designer) I certify that the septic system referenced above-was,installed substantially according to the design, which may include minor approved,Chan_ ges 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 wr&State & Local Regulations. Plan revision or certified as-built by designer to follow, x Mom; Vic. ` Installer's Signature (Designer's Signature) (Affix Designer's Stamp 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:\Septic\Designer Certification Form Revised.doc Town of]Barnstable P# ' Departitneut of Regulatory.Services Public Health Division DateMAM 200 Main Street,Hyannis MA 02601 Date Scheduled Time ©C _ Fee Pd. Soil Suitability ,Assessment for S a e Disposal Performed By: Witnessed t LOCATION& GENERAL INFORMATION Location Address No r—i t", U,)C Y Owner's Name M 6 r� Address Assessor's Map/Parcel: 1-7 00 1 ` '(� Engineer's Name to C�b t� NEW CONSTRUCTION REPAIR Telephone# 's D G �� a Land Use �� a �-�--'.q-L Slopes(9G) S Surface Stones AC' Distances from: Open Water Body /U /k ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Llne w ft Other ft SIMCTCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 3n proximity to holes) t,v Parent material(geologic) �'�'" y t. Depth to Bedrock 4- Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater N /A- ` DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to still mottles: In, Depth to weeping from side of obs,hole: In, Groundwater Adjustment ft. Index Well# Reading Date: Index Weil level__._ r_ Adj.factor ,.,_ Adj.Groundwater Leval, Observation PERCOLATION TEST baled L7 z Time Hole# Time at 9" _ jt Depth of Pero S L Time at 6" Start Pre-soak Time Time(9"6") End Pre-soak Rate Min./lach L.Z Site Suitability Assessment; Site Passed V Sitq Failed: Additional Testing Needed(YIN) 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:\S RPTIC\PBRCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil• the, Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistenny.96'OraYel) C7 lF-+ I v A—v+.V&—Z. ST- s D + +P 013SERVATION_HOLE LOG Hole# _ Depth from Sol]Horizon Soil Texture . Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sis cn %C e A. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon. : - Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i to c O e DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Hodzon Soil Texture Sell Color 51311 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. o s' t n Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within(00 year fl:nod boundary No. Yeses 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 . { 1 certify that on 1 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed,by me consistent with . the required trai ' er se and experience described in 10 CMR 15.017. Signature, Date Q:1S.i?FTlaPRRCF0RM.D0C \ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS qjp DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP ' PARCH TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 67 Morgan Way W. Barnstable Iff LRE Owner's Name: Michael and Heather MoriartyOwner's Address•Date ofInspection: 03Nameof Inspector:(please print)�li11 ' am _ .Robinson Sr, - ABLECompanyName: William E. Robinson Septic ServicT. Mailing Address: P O Box 1 089 Centerville, MA Telephone Number: (5081 775-8776 CERTIFICATION STATEMENT I certify that 1 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/Seon I5.340 of Title 5(310 CMR 15.000). The system: es Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: _ Date: 64 r" The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heatth or 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 approxing 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 I Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:_ 6 7 Mdraan Way W. Barnstable Owner: Michael and Heather Moriarty Date of inspection: �a Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syst Passes: 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CUR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. stem Conditionally Passes: ne or more system components as described in the"Conditional Pass"section need to be replaced or repaired The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer y ,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The a tic tank is metal 1 and over 20 years old or the septic tank(whether metal or not)is structurally unsound,a ibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing is replaced with a complying septic tank as approved by the Board of Health. "A metals tic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating U at the tank is less than 20 years old is available. ND explain Ob rvation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed ipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval o Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND ex ain: e system required pumping more than 4 times a year due to broken or obst axicd pipe(s).The system will pass ins ction if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is mmoved 3 ND expl in: Page 3 of l i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 6 7 Morgan Way W_ Barnsi-ahl P Owner: Moriarty Date of Inspection: G—O. 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 fail' to protect public health,safety or the environment. 1. stem will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the s lem is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board y o rd of Health(and Public Water Supplier,if any)determines that the system Is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a su ace water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone I 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: 67 Morgan Way W. BarnstahlP Owner: Mich iarty Date of Inspection: — D. ystem Failure Criteria applicable to all systems: You ust 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%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 f et from a private%-Ater 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 (lie 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 forma (Yes/No)The system fails. 1 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 c considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd You ust indicate either"yes"or"no"to each of the following: (llte following criteria apply to large systems in addition to the criteria above) yes 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—1WPA)or a mapped Zone 11 of a public water supply well If yo have answered"yes"to any question in Section E dre system is considered a significant threat.or answered "yes" n Section D above the large system has fined.The v%ma yr operates of arty large system considered a signifi ant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.30 .The system owner should contact the appropriate regional office of the Department. �" 4 1 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 67 Morgan Way W_ Rarn-,ttahla Owner:. I gin ea her Moriarty Date of Inspection: tr 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 Y Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? !/ Have large volumes of water been introduced to the system recently or as part of this inspection?. Were as built plans of the system obtained and examined?(If they were not available note as N/A) — Was the facility or dwelling inspected for signs of sewage back up? v _ Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? _"of Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffle/s 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? 71c size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no / d/ Existing information.For example,a plan at the Board of Health. 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)J 5 i Page 6 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 67 Morgan Way W. Barnstable Owner: Michael and Heather Moriarty Date of Inspection: 7-;-G-0 3 FLOW CONDITIONS RESIDENTIAL. Number of bedrooms(design):. Number of bedrooms(actual): -- DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 3 Number of current residents: _ Does residence have a garbage grinder(yes or no): 0'-0 Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no):Ale) Seasonal use:(yes or no): � Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no): iaw Last date of occupancy:4=63 COMMERCIA USTRIAL Type of establish- nt: Design flow(base on 310 CMR 15.203): gpd Basis of design flo (seats/persons/sgft,etc.): Grease trap prese t(yes or no):_ Industrial waste olding tank present(yes or no):Non-sanitary w ste discharged to the Title 5 system(yes or no):_ Water meter r adings,if available: 2 0 0 2-1 1 8,0 0 0 Last date of ccupancy/use: 2 0 01 -9 9,0 0 0 OTHER(describe): GENERAL INFORMATION Pumping Records Source of information- Was system pumped as part f the inspection(yes or no): A., If yes,volume pumped:_gallons•-How was quantity pumped determined? Reason for pumping: TYP F SYSTEM eptic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval _Other(describe): Approximate age of all compon nt ,date installed(if known)and source of information: Were sewage odors'detected when arriving at the site(yes or no):' 6 Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_ 67 Morgan Way W. Barnstable Owner: Michael and Heather Moriarty Date of Inspection: —9—/ BULL G SEWER(locate on site plan) Depth be ow grade: Material of construction:_cast iron _40 PVC_other(explain): Distance om private water supply well or suction line: Common s(on condition of jousts,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction: ; concrete_metal fiberglass_polyethylene —other(explain) _ If tank is metal list age:— Is age confirmed-by a Certificate of Compliance(yes or no):_(attach a copy of certificate) t ` y b I Dimensions:_ 44. Sludge depth: 'e y s Distance from top of sludge to bottom of outlet ice or baffle: _ Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined:f) A✓ti C'o r✓1,4 3 Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): / A GREAS TRAP:_(locate on site plan) Depth belo grade:— Material of onstruction:_concrete_metal_fiberglass_polyethylene other (explain): Dimensions: Scum thic ss: Distance fr top of scum to top of outlet(cc or baffle: Distance fr m bottom of scum to bottom of outlet tee or baffle: Date of la pumping: Common (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as relate to outlet invert,evidence of leakage,etc.): 7 Page 8 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: A7 Morgan Wad Owner: Michae and Heather Moriarty Date of inspection: —0:3_ TIGHT oXconruction: G TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth bel Material o concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: allons Design Flow:rof allons/day Alarm presen Alarm level: rking order(yes or no): Date of last p Comments(c float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) ) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): U PUMP CJER (locate on site plan) Pumps ines or no): Alarms ies or no): Commenof 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:_67 Morgan Way W_ BarnstahlP Owner:. Mir-hat-1 anrl Heather Moriarty Date of Inspection:_7— -4 _03 SOIL ABSORPTION SYSTEM(SAS): ✓(loca(e 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: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): � I CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and onfiguration: Depth—top o liquid to inlet invert: Depth of soli layer: Depth of scu layer: Dimensions of cesspool: Materials of c nstruction: R Indication of oundwater inflow(yes or no): Comments(n a condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials o construction: Dimensio Depth of lids: Commen (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 67 MhrgAn Waco W_ Rarc.table OwnemPli chaps anr9 uo er Mdriatty Date of Inspection: Ge 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. J b � 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: 67 Morgan Wad W_ Barns -ahlP Owner: -Heather Mriarty Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 10 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 hol within 150 feet of SAS) Checked with local Board of Health-explain: _ O A Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe ow h you establ shied the high ground water elevation: /-2 11 �I TOWN OF BARNSTABLE LOCATION L-C A "52 * tt) /A�,m GVp✓ SEWAGE # L5q7 VILLAGE ' , "-i�� kl, MON, ASSESSOR'S MAP&LOT IA & - 5 INSTALLER'S NAME&PHONE NO. Q-4x) SEPTIC TANK CAPACITY /6tV �� LEACHING FACILITY: (type) L���n�= (size) NO.OF BEDROOMS BUILDER OR OWNER � !�`��(✓`I �� PERMITDATE: �_ ' /® `lug COMPLIANCE DATE: / -1 Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ♦ F s @a Vn- 3 Fx$.......... .d.�7....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE pppSystem Appliration fur Bi�pw3al Eurk,6 C�oustrur#ion amif lication is hereby made for a Permit to Construct ( 1/�or Repair ( ) an Individual Sewage Disposal at: . ./..:7W- PA.V`ul ' ls� ._ ...............-:address or Lot No- _. .--- ........................ -•••-••-•-•.............................................. Installer Address U Type of Building Size Lot------ <S_ y_..Sq. feet Dwelling—No. of Bedrooms_______ _________ ___________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type T pe of Buildiu U y ? No. of persons Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ __ Q -----------'-----------------•-----------•-------- W Design Flow...................IAlD_.._._�__-_gallons per n per day. Total daily flow_..._.__.Y��_..._._._--------------gallons. WSeptic Tank—Liquid capacityl_5�....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 t Ltk ( ) // '4 Percolation Test Results Performed by--..--1� _ /f(Z�C Date........................................... Test Pit No. l.. ......minutes per inch Depth of Test Pit____________________ Depth to ground water......A .. �14 Test Pit No. 2________________minutes per inch Depth of Test Pit._.-.._.____-_______ Depth to ground water........................ P.' -----------------•••••••••_• `--_ -'- ------- --- --- -- --- ----- ------------- ---------------- .............. --- Description of Soil fir �., -�--.. - '------------•'•••-••••=••••••••-•••-•••...... w VNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The and signed further agrees not to place the system in operation until a Certificate of a s b n issu�d b e board of health. 7 Signed ... .. . .......... ..--- ----- _.... .. .. � ??��1 Application Approved B _ ............ ... ......................... �o= -PP PP Yam............... ............... Dace c1t5 Application Disapproved for the following reasons: .... .......................... ............................ . .................. Dace Permit No. ... .5.........3...V 9--- ---- ------------ Issued ..............3..".Dace to r.. �1------------------ ===� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apialiration for Dtupuml Works Towitrur#ion ramit pp lication is hereby made for a Permit to Construct ( V)or Repair ( ) an Individual Sewage Disposal System at: X-I 17G' �' -----•--- •---------------------•. ----- -•-- - --------------•-----•--•----•--------------. ............I....................... Loe t br -Address or Lot No. .... .....----- � Owricr Address r ✓� Installer Address /L� UType of Building Size Lot.............................Sq. feet Dwelling— No. of Bedrooms--___-_-y_____-------_______________________Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Buildiu �A_ _�JU�-__- No. of ersons-_------------------------- Showers ar YP 1� ----•-••--=-•-� - P ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow-------------------ll. ......... ...._gallons per p�s n per day. Total daily flow.._.......` ..____....__ gall ons. _ W Septic Tank—Liquid capacity)5� .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 ( ) //�� y l� Percolation Test Results Performed by.-----(./1 �xl! � Date. -- Test Pit No. l.. ......minutes per inch Depth of Test Pit.................... Depth to ground water------r//..rs4_.. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �._... /ii------------------••-------------------- =�. -f� .. .: .-Q^ f - -�a 1 O +- ......................... x Description of Soil'--•.��_/,tO�t------------------------------------ =---. !!r�" �... _.:._.��....---`^�--�-�.1.�.�.•��..............................................._a�.:.....-•-•---• �- " 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 TITLE 5 of the State Environmental Code—The unddpigned further agrees not to place the system in operation until a Certificate of Coi p)-ftme-h s!bb000n issued -by telie board of health. l Signed -- ��% 7 'IC - � .... Application.Approved BY _ _ .. ...-' `..:n.^^ ----- ..�...,� ....rr .:.. .... .......-----.._---........._.......-----------------......._....... �./ Dace 4/ Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------- ----- ....... ..... .................... .......- ........ ... .........._...... - . ................... _..... ... . - . ........................................ Date Permit No. •_----------------------- Issued ...............3---.f a.....97G�•.�:'--------------- '� Dace ------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cfertif rate of (Eam fiance THIS IS-TO CEE That the I dividual Sewage Disposal System constructed ( G` ) or Repaired ( ) by ` — -- ... ...... - -- t f -..... - Insrdler W. at ----- ---------_...1.5..7....... -----t%?:�.Gt�.. G� � �.��.....�..... - ..................... _.............. - has been installed in accordan� with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------- ..-...j..t/..9------ dated ---------�_....1C----7z'.�.:_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. _ DATE {...--`-� ---- `1---------------------- ----- Inspector . �------------ ---------------------------------..._.. ----------- I L_ ---------------- ------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.-•.L?..'-?...-.--•-. �i��us�tl 3�urk� �.u�u�r n ��erntit Permission is,hereby ranted-_-."..-- ...! z � - ------! ✓{_ r r I'9�'>} .............................................. to Construct ( � or Repair ( ) an Individual Sewage�D,,i'spos�1 �System at No.... , ......152 ? a I" W .;°---•---GU-_---- ..Street as shown on the application for Disposal Works Construction it No. �-�Iq Dated---------- ................................ e /� Z r --- Board of Health DATE--:-----•�--/-------•----•-/••-------••---------J------•--•------------- FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS y TJES 16 N vATA 4 AA o F.L,' A '5114 FAMILY 3 $1=VFZOMS u/Q`( l,AZ5AI;E 640.)EZ- �P .�� ICI ..'PA►L-( FLDul .,6 � Ito-33a Oz.SEPTIC TA�Y- $3Ox► v$- 4��6143 � &4 USG loco Ga-v QZ•o \ V 15P054 L PIT j-Ioao eg"/ 7' Srro 5I'C>I=w4LL AAA = ibb s,. ,� \ L171 �oPD, BOTTOM A2ZA = 7 S s g8 a o �•,.. ISg v \ PE2604-AT1oN eATE = I"iu'l�l,� ���SS 9k� `� \ . t�wpt:i:c•h�0, \ \ g� CZAI& S4o2r P r 9,6 \ �aASL. ,d� OF IVA FW HARD ����?� . PT ER \ I \ I3AXTER v'j SUS I.tS�i� `� I A94 1 I \�FC�ST� �.,,..,.� ��.��r($TF•fA�"C� c`�� 1` 1 I I - I 11 ������� � xAl Js/0 Su13`�Olt.. 40 vt,W Iu✓ z I: 4:, 6AL INv Bs ��n� ►nofl la✓ tN BloSicT ""' SEpr►c r MGD GAL TA►44 ' wl. . Af-Slc r '-TouE M02E: ruaP,i a' vELP it, £V.']B 51-All SE II-Zo l.oa,e ..... ) M aD 1'0.. i spy CE FIT-1® Peal" FLAN GG!\ loci L 1uo Sur 'T _ C-�irnnvlu.s �1�/.Ba�►.tS, DaTE; MkZ [, I°I 9 S b10 tUar 9,--✓ inr e 1917 PLAN 'eI"c R&jC,E 1 C�I F�/' 714 AT T 1{E�w SFIDw�J HvZEDN e-,OMPL S WITA 711E 51-pr=UQE L.I�T 78-0. D .T4(C TDWN OF. Btz4,;TA �c BIG Q-3`j ��,. ►`� AiJD ►5 l,�i-. Lo�`f 'V.V IT 1 T IE vZop MoIU ,k P>?4F�`f�lOrJdl_ LAu� Sue.V�`JAzS 4K FLAW l5 NOT ol.l ,itiN 1�15T1'Oti�EIIT' G��It_ � E�JGI N EEzS rNE OFFSETS:..440L)LD Q oT aE MA,S , I uSEID To E61rA'?LI-5N FIZCFE2-Ty U 11c-5 dPPLICAN-rs �A�(Stb� L�,c�r��, e�o r�1G TDE51 6 W vATA N 5W FAIIL`( 3 $EVWMi u/QI( 6,AZ5A(;E 6041J )EZ. �P �� N �� SEPTIC TAB V-- W X IS6- 49T dA' IM &4 vSF- loco Gpv 'PISFMA L PIT BOTTOM A62CA = -7 s s f gP a d .fig 4 A 1'0 -79(,PD ;,aIL 9i\ - - � o� _ 'pE2GaLATIoN QATE I"►A`2m14/L�St `� -<-nJto BI GeA SIo2r Pr ,►yit` %,�;<%^ V1 or y�ss9 \ del RICHARD `�:��:: �r� PFTER 1 SUt!I'JAY 9Si l 1 Ylr. Maw, NM24a0 �Fej �o fs/OKA L T%T' 1 oQeu �Ac>± 1 40 :e- Il lay w-ee TF=`� aim q o 'P& zSussolt, looI p In-d—--�T�- 4: `ScrG�orAp"rDL r c wv BI°5 vIST B »Iv Lome ✓ . t TtiNr= 1VIt5t> GAL Prl SAUp LEA" wr R z 314'-l/z WITVA4.4 W�614EP �l z' Mo�¢E 711A�J 4' v 5>rT or- SIc r 4-To9E Si4ALL Me 4-2.0 II' �, E�•.7B MAP I`ll P6L . Loose l.ez I�1® Ie f tAN sc,►Ic � go �uo /xt,T' �oC,A'rI0ti1 �_. CpJT�.VIu.s ��{/.'F3A121.1ifs,' 1=da DaTa=-s MlM 1, I49s boo W4T 1, qev. irr 0.1977 FL-4 N ze E REUCE- I CEYfiFy TEATTi4S SFlow w HpzEoN 60MPL S WITA 11AS 51'DEU�JE � 1 S� '4(E- TDWN of Bbz►,q!rA L-xs- i. IV. .4-39 P&. I`� A+tD IS L.ocd-r w tt!1 V �iow M&IU ,k I�gS o SA XTEV-- IW— P20F1E:1;s510Q4_ LAIJ-D 5omveyoz5 .r9K FU Q IS Nor" -,;JAii�D 1 4-Woti4Et)r ��.�I L �' EiJGI N P-R-5 5urzVc-,-f ArJv THE CW e " 44omD u DT' IIE o SPEIzv I L.L-. MA,4 . USEl:> To E1irWELI5N RzaPet2.Ty LIales I 1PPLICAN7: ,A�(51b� �$VlcvrU� Co (►JG I OF FINISH PORT 6' MAXIMUM COVERS MUST BE WITHIN INSPECTION 9" MINIMUM. 6" INVERT ELEVATIONS : DESIGN CR I TER I A : GENERAL NO TES : OF GRADE FIRST'2' TO INVERT OUT SEPTIC TANK: 93.7 DESIGN FLOW: BE LEVEL MIN 2" OF PEASTONE INVERT IN DI ST. BOX: 93,47 3 BEDROOMS AT l l0 G.P.D. PER I. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION 97.0 OR FILTER FABRIC INVERT OUT 0/5T BOX: 933 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 94.0 . . 4- DIAM PIPE 3/4" - l l/2" D I A. INVERT I N L EACH CHAMBER: 91.33 DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 89.5 NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS ='� 93.7 93.3 T22" IF71 %2, � - SET. SEE SI TE PLAN. sFFLE� 93.47 9/.33 89.5 ADJUSTED GROUND WATER: N/A 3 INFILTRATOR 3050 OBSERVED GROUND WATER: N/A SEPTIC TANK REQUIRED: 3. ALL CONSTRUCTION METHODS AND MATERIALS AND 3 OUTLET 330 G.P.D. X 200x - 660 GAL. EXISTING D-BOX CHAMBERS W/4"' STONE AROUND BOTTOM OF TEST HOLE #2: 84.5 SEPTIC TANK PROVIDED: 1000 GAL. EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL I2'w x 29'1 x 22'd CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6` CRUSHED STONE OR SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DES l GN PERC RATE C S M I N/1 NCH PROFILE : NOT TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADI NG RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. MD RGl1 N i I �! 1 PROVIDED: 3 /NF I L TRA TOR 3050 CHAMBERS W/4'+ STONE AROUND. A-498 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR 498 S.F. x 0.74 - 369 GPD APPROVED EQUAL. 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TEST PIT DA TA s PRECAST CONCRETE OR APPROVED POLYETHYLENE. INDICATES CATES l NO l CA BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER / �` SPLIT RIA FNC PERCOLATION = OBSERVED TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE TEST = GROUNDWATER OUTLET. � t TP #1 P#l 3708 TP #2 7, BEFORE CONSTRUCTION CALL 'DIG-SAFE`. HORIZON TEXTURE COLOR HORIZON 'TEXTURE LOAMY IOYR COLOR 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. t r d 0` LOAMY IOYR 98.0 O" 94.5 FOR LOCATION OF UNDERGROUND UTILITIES. SAND 3/4 SAND 3/4 r t 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE 6" - - - - - - - - - - - - - - - - - - - 97.5 /0" - - - - - - - - - - - - - - - - - - - - 93.7 1 DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION LOAMY SAND IOYR LOAMY SAND 1OYR D B AND GRAVEL 5/4 OF THE SYSTEM TO ALLOW FOR SCHEDUL l NG OF THE AND GRAVEL 5/4 CONSTRUCTION i NSPECT I ONS. - \ 32' - - - - - - - - - - - - - - - - - - - - 95.3 36' - - - - - - - - - - - - - - - - - - - - 91.5 FINE-MEDIUM IOYR Cl F 1 NE-MED 1 UM IOYR \\\\ 'Ire. GRAVEL 6/6 9. ALL UNSUITABLE MATERIAL (A & B HORIZONS) SAND GRAVEL 6/6 AND STONES ANDSAND STONES ENCOUNTERED BELOW THE INVERT OF THE LEACHING \ \\ \\ LOT I `t' FACILITY TO BE REMOVED FOR A DISTANCE of 5' `t' \ AROUND AND REPLACED WI TH SAND IN ACCORDANCE l5, 394f S\\F. \\ 52" WI TH TITLE 5. NO WATER NO WATER 120- 88,0 120` 84.5 =`, \ __9 DATE: DULY 27. 20/2 TEST BY: STEPHEN HAAS aq o I I THREE EXIST STI t s N \\ 1\ � pwE1 LINO BM. CORNER BRICK WI TNESSED BY: DONALD DESMARAI S 2 i\\\ \\i\ gEpRO EL-93.73 ; 9 5 PERC RATE: C 2 MINI NCH \ \ \ \ C r GARAGE 92.6 \ \ \ \ \ \ I Zv97.5 12. DECK ti m VARIANCES REQUIRED : 3 INFILTRATOR 3050 1\ \ 0 \\\\\\\ \ \ \ 1 CHAMBERt"IV14' STONE \ TITLE 5. MAXIMUM FEASIBLE COMPLIANCE \ \\\\ \\ \\ EXISTING \ ...�: �� \V _ ® SECTION 15.221:(7) GENERAL CONSTRUCTION REQUIREMENTS FOR ALL SYSTEM COMPONENTS SEPTIC TANK ..:::. ..,.,.,.:.: N\ 10'QAK YARD DRAT# \ \ \ �� _ THE TOP OF ALL SYSTEM COMPONENTS SHALL BE NO DEEPER THAN 36' BELOW GRADE. A VARIANCE IS REQUIRED FOR THE SAS TO BE BETWEEN 3' AND 6' DEEP, \ 1 1 1 1 1 \ { _ ...... \ ...I � \ \ 1 \ \\ LEACH PIT* - - '\ r ! I 94.5 s TP* \ \\ \\ �6a25' 18-WI _ - SEPT / C SYSTEM CUES / GN 97. t\ -_��\ 67 MORGAN WAY . MAP 174 . PARCEL 00 1 065 WEST BARNS TABLE . MA LEGEND PREPARED FOR \ MICHAEl MOR ( ARTY ■ CB CONCRETE BOUND m sF9 1 --W WATER L I NE i HYDRANT S CA L E I - 2 0 ' AUGUST 29 , 2012 G GAS LINE SADDLER o LOCUS OHW- OVER HEAD WIRES S T E P H E N A H A A S DOE THOMQS LIGHT POST ENGINEERING , I N C --E- UNDERGROUND ELECTRIC LINE -T- UNDERGROUND TELEPHONE LINE `-� 923 F2ou t e 6A -CTV- UNDERGROUND CABLEV I S l ON L l NE ` '-�� Y+i r mo u t h p o r t M A 02675 / � r 508 62-81 32 +40.4 SPOT ELEVATION �"'�' j� �� \ � � 3 •-40------- EXISTING CONTOUR 5 0 8 j 367- 1 6 J 1 40 PROPOSED CONTOUR O lD 20 40 LOCUS MAP .JOB NO: 12- 119 -- -i- j- -