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Home My WebLink About0019 CARL IRMA DRIVE - Health (2) ly. C;AlRUIRMA DRIVE Barnstable A = 237 - 057 a t • 0 DINING - BEDROOM ROOM LIVING ROOM s ENTRY HALL CLOS, s S CO S KITCHEN OFFICE /LAUNDRY J FULL BEDROOM Q Q BATH = m EXISTING FIRST FLOOR PLAN Location 19 CARL IRMA DRIVE Project PROPOSED BASEMENT RENOVATION Scale 1/8" = 1'-0" Date MARCH 24, 2017 EXIST, AWNING BASEMENT WINDOWS EXIST. EXIST, MECH, EXIST, FINISHED FINISHED ROOM R❑❑M R❑❑M s s EXIST, co EXIST. UNFINISHED UNFINISHED R❑❑M EXIST. R❑❑M BATHRDDM EXISTING BASEMENT PLAN Location 19 CARL IRMA DRIVE Project PROPOSED BASEMENT RENOVATION Scale 1/8' = 1,_0„ Date MARCH 24, 2017 NEW NEW EGRESS WINDOWN WINDOW KEYSTONE RETAINING WALL TO CREATE WINDOW WELL "\ I ROOM LIVING ROOM s BEDROOM CUT EXIST, F-NDN TO ACC❑M❑DATE NEW WINDOW CL❑S, s s GAME ROOM co ❑F-F-ICE BATH ROOM NEW WINDOW PROPOSED BASEMENT PLAN Location 19 CAROL IRMA DRIVE Project PROPOSED BASEMENT RENOVATION Scale 1/8" = 1'-0# Date MARCH 24, 2017 r.0002.13.01(Current) Levesque,Jeff F�pct availability and pricing subject to change. Marvin Clad Ultimate Quote Quote Number:P3TY347 Architectural Project Number: Low E2 w/ArgonM e Stainless Perimeter Bar GBG-Contour.................................................................................................................................48.31 Rectangular 2W2H Stone White Ext -White Int Ogee Interior Glazing Profile Bottom Sash Stone White Clad Sash Exterior Painted Interior Finish-White-Pine Sash Interior IG-1 Lite Low E2 w/Argon Stainless Perimeter Bar Ogee Interior Glazing Profile White Interior Weatherstrip Package White Exterior Weatherstrip Package Satin Taupe Sash Lock Aluminum Screen Charcoal Fiberglass Mesh Stone White Surround FactoryMull Charge...................................................................................................................................36.03 4 9/16"Jambs Nailing Fin 'Note: This configuration is certified to AAMA 450. Mull certification ratings may vary from individual unit certification ratings. Line#3 Mark Unit:Basement Bedroom 1-Opt#1 Net Price: Qty: 1 Ext.Net Price: USD MARVIN�rt, Stone White Clad Exterior Painted Interior Finish-White-Pine Interior............................................. .....191.60 ........................................ Bu�ltarounc n". Back Prime. 52.40 ................................................................................................................................................ 2WiH- Rectangle Assembly �{ Assembly Rough Opening 831/2"X 52" I ............................... Unit:Al ................................................................................... ..........................637.02 jt Clad Ultimate Double Hung-Next Generation I r� 1 A :I CN 3622 Rough Opening 421/4"X S2" ={ j Top Sash As Vi=.,ed FrcoF^The Ext=k-r Stone White Clad Sash Exterior FS 821/2"X 511/2" Painted Interior Finish-White-Pine Sash interior RO 831/2"X 52" IG Egress Information Al,A2 Low E2 w/Argon &athc 37 Zr/32�,HeigEti 20 JF6"�+� Stainless Perimeter and Spacer Bar Net Clear Opening:5.41 SgFt 7/8"SDL-With Spacer Bar-Stainless.............._...........................................................................161.30 Performance Information Al,A2 Rectangular-Special Cut 3W2H U-Factor:0.3 Stone White Clad Ext-Painted Interior Finish-White-Pine Int Solar Heat Gain Coefficient:0.27 Ogee Interior Glazing Profile Visible Light Transmittance:0.46 Bottom Sash Condensation Resistance:55 Stone White Clad Sash Exterior CPD Number.MAR-N-425-09730-000.01 Painted Interior Finish-White-Pine Sash Interior ENERGY STAR:NC IG-1 Lite Performance Grade Ai,A2 Low E2 w/Argon Licensee#1127 Stainless Perimeter Bar AAMA/WDMA/CSA/101/I.S.2/A440-08 Ogee Interior Glazing Profile LC-PG501149X2223 mm(45.25X87.5 in) White Interior Weatherstrip Package LC-PG50 DP+50/-50 White Exterior Weatherstrip Package FL17635Oil Rubbed Bronze Sash Lock..............................................................................................................56.50 Aluminum Screen Charcoal Fiberglass Mesh Stone White Surround i Unit:A2....:...............................................................................................................................................637.02 Clad Ultimate Double Hung-Next Generation CN 3622 Rough Opening 421/4"X 52" Top Sash _ _. No. �p✓ ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Disposal 6pstem Construction Vffmit Application for a Permit to Construct( )`��Upgrade YX Abandon( ) [j<Complete System ❑Individual Components Location Address or Lot No. I q C°�tRL j2 u'�tf�t>i2 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3'7 S PD o 657T TA3C,9 Installer's Name,Address,and Tel.No. Yo?--4177—1?$77 Designer's Name,Address,and Tel.No.509-,P-73-03-77 <A-0c_wcD& 6X>T&"QccsGS [,i-c— JG i`�rclll�_a4(Lr= lm� 1. e3 M E—' 4 t4 U /K Type of Building: t Dwelling No.of Bedrooms Lot Size ,� �" sq.ft. Garbage Grinder( ) Other Type of Building QC,<jDa rT f fA L_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 421 Q gpd Design flow provided �pgt'3 gpd Plan Date '5 „Z —a o 142 Number of sheets Revision Date Title 19 e A'kL -'IZNI1} Del G'E Size of Septic Tank 1 SCO G_&Cr DO Type of S.A.S. (7T LCj j J2JppVI Description of Soil ;5'A"<@ 4- zn p -A Nature of Repairs or Alterations(Answer when applicable) 27 k):C j ,( /l!tjjZ,2 I j py IJK Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He _ S' a Date 5 —5 aO Application Approved by � Date S 7 Application Disapproved b Date for the following reasons Permit No.X i to Date Issued ,5 `��1 (p s No. ?40t 6 r 1 11- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for;�iS�lOsar �psteln Construction i3ermit Application for a Permit to Consttruct( ) geM;;ZUpgrade Abandon( ) [)(Complete System El Individual Components Location Address or Lot No. Q Cr4iu„:r0_W A DR Owner's Name,Address,and Tel.No. Assessor's Map/Parcel . 3� S PO$O)c 657 W9ZT 9?A4C, Installer's Name,Address,and Tel.No..50$-q'77-9977 Designer's Name,Address,and Tel.No.5og'dX73-03-77 <A-0Ew1iDs 6YPTEQ>12t565 L,c..c.,, JG =1 t53 CaQu4cx9_f 4L-S- IVl/fz5lftp��' ti.1 C (t1147Z�9(a�'l pe of Building: ~"Ty /Dwelling No.of Bedrooms (� _ kot Size O P- ,53;Z t' sq.ft. Garbage Grinder( ) Other Type of Building RQ5j0LQLr/tAL- No.of Persons Showers( ) Cafeteria( , Other Fixtures Design Flow(min.required) 1�1 Q gpd Design flow provided /pgV gpd Plan Date .Tj —;2 --a O 1 Number of sheets Revision Date Title Iq CALL- A Dkl VE �r4�21US7�4�CL— Size of Septic Tank I S00 44Lt.6J Type o"f S.A.S. 7 -fL 04,J D/FHU r Description of Soil MQ /SCLC- P4.t4 Nature of Repairs or Alterations(Answer when applicable) XVCT* L 0 CRC l,e:?oC—,oCCwoQ SCFTIC„ UriV, 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. -' S' e r_ /A �� Date Application Approved by Date Application Disapproved b Date for the following reasons Permit No.03 Ito j H 3 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 0,60 C—W IM 67WTa f 15E57 &4e_- at I q C A 2L. SA44#4 G)k 0A-a e)SrA(j C.0 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 06—jq7 dated 5 ��t-M I jp Installer CAPGwIAC C—QTE?nglj1 5 LLCM Designer -TG Er lolly t�� .�ll1G #bedrooms Approved design flow gpd sE " The issuance of th's permit shall not be construed as a guarantee that the system will ction ( designed. Date �,� Inspector r { V u- -- -- No.liu j G _ I g 3 Fee%//O<J THE COMMONWEALTH OF MASSACHUSETTS T PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(� Abandon( ) System located at 0 A'QL ZA M A D-k i VE 19 A RA5 MAG[PLC 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. / f Provided:Construction must be completed within three years of the date of this permit. i Date 7 17,01(o Approved by ' . ' -y vvV� VVvv tt4799 P. 001/001 Town of Barnstable Regulatory Services Thomas F. Ceiler,Director 1639'"six' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,NIA 02601 : Office: 508-862-4644 Fax: 508-790-6304 Date: (0-3'( !o Sewa a Permit# "LL�G6 � ,!; 7 Assessor's Map/Parcel 2.37 57 .Installer&Designer Certification Form Designer: 5G En%nee.c(nl� , rnc Installer: Ca(�ew;de �nEerpt�ses Address: 2854 c cony perm -- Address: i 5 3 Co�v►m erGt'a( S{ree t �os1 %um6nom� 11A o2.538 }-(aS�►�QC'. 11fj 02(oL/ 9 608-279-0377 On_ 5 _��l Capew�de- C-v,Fe;p yeses was issued a permit to install a , (date) (installer) septic system at I Ga 3:innq D Ci U e., based on a design drawn by (address) .SC EnS��eeci ng ,The dated )gay 2, 20( (o / (designer) V I certify,that the septic system referenced above wa s installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required);was inspected and the soils were found satisfactory. 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. Stripout(if required) ected and the soils were found satisfactory. �n �) JOHN L, ns ler' CMURCHILL JR. ML jAS gner s Signature (Affix De gn Here ETURN TO A.RNSTABLE PUBLIC HEAL DIVISION. CERTIFICATE OF C OlVjpX,YgNCE L NOT BE ISSUED UNTTL BOTH THIS FORM AND AS_ BUILT CARD ARE RECEIVED BY THE BARNSTABLE PYJBLYC lIiEALTH DIVISION. THANK YOU. gAoffice fonm\dosianercertification form.doc i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A- DATA "`.r.... �3/ � �' 'I'�"n"a�+i> a t� 'Yrl i7 «c�ter,'� g y��'S.�'Yt' �f'� � P rf ° -• �,� `x. � � '�' � �! 1x ��H:R+a '�?,tA,�<�• � � �' � I %_. .,.,.. r 3' - b..,.w,w.c.+aw ,•,oi»'x.a + Av"" 6 ySx F I '. . , .a�,.w. �,�,. ,�iroy � ,w«., 'Y,� .�. ._.I✓. � r r'' M V - r�,� ) ♦ it �a szurr,t�..«,,.� 2) ' K' GC— t� , GC_1 TP ^- €� ' HC-1 sv`5 4�xS'49x5'n e y 0 (iV „< � PROP. t tJ x •s��x Z,;�'e" ,.�d:u�;f� F� r. 0.''" s`icr (,' � elf � � ! r It k r GC 3 f i !. ...,,,iom 1 f'. A r,r '9�� N , V J 5){ MAP 237 LOT 57 121,532 S.F. . IiAf Co 44/ fv '� \S�J 1 1 ,tip+, +. •. ..�4Yi f� /�''yV �+. yn9 ,y g 4,ri e `4YY'dsCC,,, a h� rR FAi9k , 9►T�Z ' Town of Barnstable P# { �{ q `� • of to • Department of Regulatory Services I II a Public Health Division Date 3 12—2J �P 9 200 Main Street,Hyannis MA 02601 lFlb MKi h � N Date Scheduled TimeLO Fee Pd._ Soil Suitabili Assessment or Sew�3' f ge Disposal y M� II__� I Pmen�el ,T CSE. Performed•B �rl 2 Witnessed By: v,(JIL r LOCATION&.GENERAL INFORMATION Location Address Owner's Name jC-Fg= C.CtfeS Cq0�E- '5,4 Address Assessor's Map/Parcel: ` p13 7�0 571 Engineer's Name NEW CONSTRUCTION REPAIR X, 1 ' Telephone# 69 ' 7 7-;9'5 7 7 .5)V,-2.7 3-0 3 7.7 S.Land Use• C I I /i�j Slopes(96) 4 Surface Stones nn\\ -t-,JJ + Distances from: Open Water Body �V' ft Possible Wet Area n'�ft Drinking Water Well 65o ft Drainage Way_ a 10 ft Property Line J y ft Other ft . SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) SeQ .. n Parent material(geologic)C)L�w ds r 1 Depth to Bedrock_._ > y�Depth to Oroundwater. Standing Water in Hole•. 'CD S . Weeping from Pit Fnea Estimated Seasonal High Oroundwater > ETE ATION FOR SEASONAL�fIIGD WATER TABLE Method Used: i�p aG � �� Depth Observed standing in obs.hole: 7 d In, Depth to soil mottles: ln, Depth to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well-0 — Reading Date: - Index Well level _„ Adj,-factor, ; Adj.Groundwater Level.,v PERCOLATION TEST Dote 'l"7'i6 Time /l av� Observation Hole# Tinto at 9" �1_1 a••Oa PM Depth of Pere 36 Cl y aq( Time at 6" =r"( Start Pre-soak Time @ I I .'qSAATime(9"41) :n End Pre-soak I' /r�I 1 .Oy/1'"� �+ a, C"Dn tW cr ay c� 5 6wn Of) 9'tk play) Rate Min./Inch . T1 ph Site Suitability Assessment: ,Site Passed )Lei Site Failed: Additional Testing Needed(Y/N) /V Original: Public Health Division l 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\PHRCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# i� 3 Depth from Soli Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders. Consistency.%'Gravel) • ��; o-�" ��it -- -- C_, 1U�MQ� tea C- s. 6/C DEEP OBSERVATION HOLE LOG Hole# . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling, (Structure,Stones,Boulders. Consistency. r I�tr j Loom C k)4 101li g . 0 4 C-I U*-Conde �-j 2,Sl' DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. ConslitanoX. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sol Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,S(ones;Boulders, Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No �) Yes j I Within 100 year flood boundary No-- I— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv)ous material exist in all areas observed throughout the area proposed for the soil absorptibn system? s _ If not,what is the depth of naturally occurring pervious material? Certification I certify that' '� "'2`•9 5 (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 training,expertise and expert ce described in�10 CMR 15.017. /O•-,—'_ •5-2"�� Signature Date�•� Q:WBPTICWBRCPORM.DOC Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , West BeFA 9 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code 110late of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information c� on the computer, use only the tab 1. Inspector: key to move your cursor-do not Troy Williams use the return key. Name of Inspector Troy Williams Septic Inspections Q Company Name 19 Hummel Drive Ilk If Company Address L-w South Dennis MA 02660 City/Town State F Zip Code (508)385- 1300 S1682 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that-the information reported below is true, accurate and complete as of the time of the in"spection. Thel insption was performed based on my training and experience in the proper function and maintenance gf on s_ sewage disposal systems. I am a DEP approved system inspector pursuant to Section 13 340 oP Title 5(310 CMR 16.000).The system: t n i-n ® Passes El Conditionally Passes ❑ Fails rn ❑ Needs Further Evaluation by the Local Approving Authority. June 22, 2014 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health 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 approving authority. ****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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural integrity of said components and only represents conditions found at the time of inspection only. B) System Conditionally Passes: ❑ One 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. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): , t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f i me * umciai inspection rorm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "f 2230 Main Street, West Barnstable(aka .19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate c/o Attorney Thomas Paquin A Owner Owners Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms'not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health):, ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 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 failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: • 5 ❑ 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 t5ins•3/13 Title 5 Official Inspection Foam:Subsurface Sewage Disposal System•Page 3 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "t 2230 Main Street, West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is p O. Box 1145, Barnstable MA 02630 June 22 2014 required for every , page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board 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 surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from 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 fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than Y2 day flow t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate c/o Attorney Thomas Paquin Owner owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown state Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑. ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply' ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. ri E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 ❑ ❑i the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water.supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22 2014 page. Cityrrown State Zip Code Date of Inspection C. Checklist 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 ❑ ® 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? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 gpd t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments rt 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate c%Attorney Thomas Paquin Owner Owners Name = information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0( 1 prior) Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 13=32,000 gals. g ( y g (gpd))' 12=38,000 gals. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: vacant 1 month Date CommerciaUlndustrial Flow Conditions: , Type of Establishment: N/A Design flow(based on 310 CMR 15.203): . N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No i Water meter readings, if available: N/A t5ins•3/13 ' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22 2014 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: N/A Date Other(describe below): N/A General Information Pumping Records: Source of information: No pumping info was available. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Pape 8 of 17 �\ �.cinuncinwaann u� inassacnusrr�w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments q� 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22 2014 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Tank, d-box and leaching were installed on 6/26/81 per compliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"+.feet Material of construction: ❑cast iron ®40 PVC sch 20 pvc ®other(explain): Distance from private water supply well or suction line: feet , Comments(on condition of joints, venting, evidence of leakage, etc.): Flushed lines and found clear at the time of inspection. Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 5'X9'X6' 1000 gallon Sludge depth: 4" t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street, West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 2'8" Scum thickness none Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? probe/measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet tees were found present and in working order. No evidence of leakage or damage was found. Tank was not in need of pumping at this time. Grease Trap(locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: `N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/ADate t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �Y 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C. Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) , Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: N/A Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day" Alarm present: ❑ Yes ❑ No Alarm level: N/A Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A Date Comments(condition of alarm and float switches, etc.): N/A *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ina•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street, West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is p O. Box 1145 Barnstable MA 02630 June 22 2014 required for every � , page. Citfrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert level 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.): D-box was found level and in working order. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form = . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: 1 -6'X6' pit with ® leaching pits number: 2'of stone ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was found with 1'of water present with a visible stain line approx. 2' below inlet invert. No evidence of hydraulic failure or problems in the past were found at the time of inspection. Cesspools(cesspool must be pumped as part of inspection) (locate on.site plan):. Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2230 Main Street, West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate Go Attorney Thomas Paquin Owner owner's Name information is required for every P.O. Box 1145 Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2230 Main Street West Barnstable(aka 19 Carl Irma Drive) M-237. P-57 Property Address Elizabeth C. Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145, Barnstable MA 02630 June 22, 2014 page. City/Town State Zip Code Date of Inspection D. System Information (cons.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separate) L C . 3 G . A I � 5 3 13 y 5 oms•ona tme o ornciai ms peeuon rortn:ouosunaee sewage Disposal ayscem•rage ia or i7 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 2230 Main Street, West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate c/o Attorney Thomas Paquin Owner Owner's Name information is required for every P.O. Box 1145 Barnstable MA 02630 June 22, 2014 page. Cityrrown State Zip Code Date of Inspection D. System Information (cons.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 13.0'+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. 12/8/20 Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: AIW 247 Zone B 23.3' 2.6'adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 12.0. USGS maps show groundwater at approx. 34.2'. Hand augered 3.0' below leaching with no water found at 13.5'. Groundwater adjustment at the time of inspection was 2.6'. Bottom of leaching at 10.5'was found not to be located in the high groundwater elevation at the time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 16 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 2230 Main Street,West Barnstable(aka 19 Carl Irma Drive) M-237 P-57 Property Address Elizabeth C.Wright Estate Go Attorney Thomas Paquin Owner Owner's Name information is P.O. Box 1145 Barnstable required for every � MA 02630. June 22, 2014 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater P 9 ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file k t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•page 17 of 17 >j ,RVI No.......1. ....... FEs.3 .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH I ` ------...Iv h//V...._.....OF....� J �........................................ Appliratiuu for BiuVuual Warkti Towitrurtion Urrmit Application is hereby made forma Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: ✓ ... ,/A Del✓&- 5WivsTA- 16Z- ' •--......_--...•...........................¢-.---.-----------------------------------.- ------------------------------•---------•------------�•---------------------------------------- Location-Address or Lot No. .... 37-Z Goewml Dry. is m A%/f-5s: o/74L Owner -••- Address ....... A......... .- ........•---•-••---------•---••-•---••. •-----.....--� (. L { Installer Address Type of Building Size Lot�p_____-___.__......Sq. feet Dwelling—No. of Bedrooms.........Z:..............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------- . W Design Flow------ __----.--•-----__----•---_--gallons per person per day. Total daily flow............;�i3-�--------------------gallons. 1:4 Septic Tank—Liquid capacity`Q?P!.•gallons Length__��of'.. Width__,.ITT'. Diameter________________ Depth. ._. Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...1 2--------sq. ft. Seepage Pit No-----/-------------- Diameter----he_ ... Depth below inlet.._G.E?:7%.... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._7 C9 --_ ".�� -___-_I Gr._._._____ Date._.1�?= :_-�-------------- Test Pit No. 1/�--_k_minutes per inch Depth of Test Pit---- I..... Depth to ground water•_______________________ Test Pit No. 2................minutes per inch Depth of Test Pit..... Depth to ground water------- ............. ----•-------------------------------•--------------------------------------•--••----••••.-••---........................................................ O Description of Soil_.o - ��': ` �� _Sa/�----36'' '72 �N� -,A-"z-, G-•=/ �-iir�ur��---�..... U 144 ...... S/- `D NQ D�✓F �NG�t��TG�2L� W ...•••---•----------------------------------••-•-••-------------•-------•---------------•--------•--_..••--•----•----•---------_...•-----•---••-•-•-•......-----•----------•-............•......_....... U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ----------------------------------------------------- ............................................. ---•---••--------------------•--------------------•---------------------.......................... Agreement: . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T'L, `>of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by the oar o health. S ned- �lf�i .. -• - -------- _-•-------------- .,�� ... /. Date Application Approved By.... Date Application Disapproved for the following reasons:--••--••-••--•--••-----•---------•---•-•-------------•-•-••----•--•---••-•-•••-------••---•---•-•••--•-----•- ... -•...................•-----•-•----...------------------------------------•-----------------•----------------------------•------------------------------------------------------------------------------- Date Permit No................................ ------- Issued....................................................... -----------------•--._..._._ Date 6l No......�.. .>CC':.... FE$...> .................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •-----.../.v.LA//V..........OF.... �a....��! .S-TAG.-4-................................. ApplirFation for DYipuuFal Works Chun.6trurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --C iz c- Zr�sy/► Dom/vC- /ZNS2.4 .... 40 T 3 Location•Address or Lot No. hL'M ,c r................ 3 i�zz co 4,,,,� a�2. �s�v. Ass c .... ......-----•.............•---••••. ........_...--•--r--•---...... - - - pOw er./ ,, / ,�1 Addres V� Q......:�:!__. I-..M.�lGl------------------- ---------------- h.qq L41 ' /�= Installer Address Type of Building Size Lod;�!.-`. ......Sq. feet U Dwelling—No. of Bedrooms.........A _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons--_-___.•___•-__..__.______- Showers ( ) — Cafeteria ( ) a d Other fixtures ----------------------------------•------------------•------------------------------------------------------•---------------.....--•---•---.....---- W Design Flow.....5 ..............................gallons per person per day. Total daily flow............ ....................gallons. GG Septic Tank—Liquid capacity! _.gallons Length.�9?E,!_.. Width__S.!_�. Diameter---------------- Depth_4F _-. x 7 Disposal Trench—No.•--_-__-__•._----_-• Width.................... Total Length......._._........._ Total leaching area---1 .......sq. ft. Seepage Pit No...... ---_-_-____ Diameter....!o_FT•._. Depth below inlet.._L?Er.._. Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed ._....�? _:........_ Date._ :. A90 -------------------. Test Pit No. 14-A. !',YA_minutes per inch Depth of Test Pit....Z ...... Depth to ground water--__--- '°"°-_•--___. Test Pit No. 2................minutes per inch Depth of Test Pit..../!f4....... Depth to ground water........................ f�+ ----••••---•--•-------------••--•-•----•--••-----•---••----------•--••---••-.........---•----.----•-......................................................... O Description G o�f�pSCo�il..o.7'-Z.............................}' ZOA' : F4 7zNSA-A'Z> C `1F% _ -- v� e" '--------------- - --------------- /� , /VoI &��t...T-e-7GC�• -.---- 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 T: =' 7 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by�theoVarohealth. a/ .... Date Application Approved By...../f` --> . -dam ;� -•�4.,/I-A,1, Date Application Disapproved for the following reasons: .---------- == -•---•----•------------------••--•-••-------------•--•------------•-----•-•---•--------•-•-•--•-------••------•-•....-•----••---•-•-•-••---•----••••--------------------•------•-------•--------•...---- Date Permit No. . ........... -• Issued_......................--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD—OF HEALTH .......rgoLled,41 ..........OF............ ,�. . .........*................... (Inrtif irate of Toutph anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( '�or Repaired ( ) b ........ .... ... .'j%jj;ft................................................ ................................ -•----•-•------- .................. 1 Inler > has b en installed in ac rdance 1 the provisions of TI 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... ........ ........ dated---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A iGARANTEE THAT THE SYSTEM- WILL FUNCTION SATISFACTORY. DATE....................................4/�_''� � ----------•-----•-•---- Inspector..........411-11� . f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT .................. (�E,T'k�.......OF........... � . . . ...................... 'd No.. FEE........ ............. tunrul orku Tone artioat frrutit Permission is hereby granted. ....... {,?ems ✓ 1 .... ..................................................... to Constr ct//�� !$ 'o Re Jr ( . an Individual a age Di sal yst at ' Street as shown on the application for Disposal Works Construction Pe 't N ._.__ ._.*__. Dated.._' ,. R � �� A /� Board of Heal DATE.......................... ` �� FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS A° Ws 48 i sLvnc ® 1 1 1 I a�• � ,a�.w. �P o i '�v ol I �l Ao V Nb ,A /VDT R LL I jr- I 7D 8� ��01/6rD 3 'tiN � I I �,• 1 �` �1 i ok A ° P ,J � WPM iK lb N I �• h Cb 171\ r,A CERTIFIED PLOT PLAN Ika� Q'le Oft( LOCATION �.sL�` . . `' .5.•.. . . .. I'tAN REFERENCE . ... . .. . . .. . . . . . .00 oF ' I CERTIFY THAT THE . .. :.... . ee►��. . . .. . SHOWN ON THIS PLAN IS LMil, D, WNE GROUND AS SHOWN HER EON�AND CONFORMS TO THE SETBACK REOU _ ENSTOF THE TOWN OF v� . . . . . . WHEN CONSTRUCTED. DATE . . . . . .. . . . . .. . T PETITIONER: . �� 9Y W�ziC y7^ REGISTERED LAND SURVEYOR _ Nraf°�"- .emu. �"+•/�'wvs�3 h�isst,. Cf a. Ta g!r' Vdt?3 �r�oM L. �- TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS •'; 4',CAST � r IRON PIPE (OR 12��MAX. " 4"ORANGEBURG(OR EQUIV.) 12 MAX. EQUIV.)— MIN. PIPE- MIN. LEACH ° PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT PRECAST o N LEACHING �—IVERT °. Q �.�• EL. INVERT INVERT p a o.: PIT OR SEPTIC TANK 3 aL DIST. 3 Ga w EQUIV. ,,o INVERT EL... .$.•. . . . X EL...7.... : : >� BO a: . . /doQ GAL. �a .INVERT �y a INVERT ::i: 3/4"TO II& e EL 3777 . EL.36.Lb u ,,. WASHED ' U. STONE 48 6'DIA. � /o l DIA.� nro,.E PROFI LE OF GRouNo WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE TIME.9,.30.4" !D �-. �'. �`'' BOARD OF HEALTH TEST HOLE I TEST HOLE 2 T.?k.!�.�-s - /?��"- , ENGINEER ELEV. .j`F,40.7/7" i QIA" 40 a" tY S�Q-sue, see-sa,e- DESIGN DATA : 3C" Per,- ga.D NUMBER OF BEDROOMS S,AivD C M/x Ti+v dr 5Aw0 TOTAL ESTIMATED FLOW . . '33d. . . GALLONS/DAY Gay&,e BOTTOM LEACHING AREA 7.P'.•S�. . SO.FT. /PIT S of oxsnr ss .I>G e[�j rix SIDE LEACHING AREA . . �BB� . SQ.FT/ PIT Nb' SAS.e 4" GARBAGE DISPOSAL . . NOi.'�`r(50% AREA INCREASE) F/N�SA-vD TOTAL LEACHING AREA . . .�7.. . . .o 0. . . SQ.FT m ,. 144 PERCOLATION RATE 444 77%4M. S!X . MIN/INCH LEACHING AREA PER PERCOLATION RATE 3�8 G. SQ.FT. NO.WATER ENCOUNTERED 1/�i!wiT.0 77.Vo Fc NUMBER OF LEACHING PITS APPROVED . . . . . . BOARD OF HEALTH i;k-iz P/T, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . AGENT OR INSPECTOR � 9 I3.qVv6Tr9�3Gt� PETITIONER : f�N q&77y k/,�iC/yTND AsBuilt Page 1 of 1 LOCATION SEWAGE PERMIT NO. VILLAGE ell" On INSTALLER'S NAME i ADDRESS s UILDE R OR OWNER GATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r o j . 101wv ( /� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=237057&seq=1 6/12/2014 APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION Lo3P�. C�Yn--�-Lti�1 >Z 11iL� _ NO.- VILLAGE DATE D.-c; APPLICANT X FED / ADDRESS TELEPHONE NO. (Non-refundable) r ENGINEER 'Tj�opA-y4-� TELEPHONE NO._3'%-33C(-> s j DATE SCHEDULED V;.3o .0,7 (Applicant' s signatur , . SOIL LOG SUB-DIVISION NAME ��Zo �s`� ��•�� DATE I'Z I TIME 16 4M EXPANSION AREA: YES )e, NO e _ � �;'" ENGINEER TOWN WATERPRIVATE WELL— a Az��U,,A zJ BOARD OF HEALTH i�,—LS 11u o EXCAVATOR ; SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : Aem 1 � w �P PERCOLATION RATE: �7 TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: &X-Tor 3 %55®rL 3 yi$SLIT� `-C 5 15,AIvD-QA� ` tlJf�� 5 7 7 S�tiUCL�Y�IX i v/�a 8 8 9 9 10 5niu o 10 11 " 11 F1�L J A"P 12 12 --� 13 13 i 14 14 I 15 15 16 16 -I`SUITABLE`FOR--SUB=SURFACE"SEWAGE: -LEACHING FIELD_`=_LEACHING-. PITS 3 I LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE . REASONS: I NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH' COPY: RETAINED BY APPLICANT � FINISH GRADE OVER D-BOX= 50.0'± PROPOSED 4" PVC VENT TOP OF FOUNDATION= 50.9± GENERAL NOTES /-" FINISH GRADE OVER CHAMBERS= 49.0'± - 50.��± PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. 4" SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT WITH ACCESS 2" OF 1/8"TO 1/2"DOUBLE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL � ii FND. EL.= SO.O�± 50.0± BOX TO F.G. (SEE NOTE#20) PLACE RISERS ON ! @ 5" DIA. OUTLET(S) _ CHAMBERS w/PIPED WASHED STONE CODE AND ANY APPLICABLE LOCAL RULES. 20" M N ACCESS - INLETS TO 6"OF 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE - COVER (3 lYP) 9"MIN. _ DESIGN ENGINEER. PROP. 4"SCH.40 36"MAX. TOP OF SAS= 47.10' FINISHED GRADE ff �� PVC SEWER PIPE PROP. 4"SCH.40 9"MIN. 46.60' 91,36' MAX.I (UNDER DRIVEWAY 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PIPE 36"MAX. BREAKOUT EL = 46.95� COVER TO GRADE) --� `\\ MUST BE FRAME& SYSTEM UNLESS OTHERWISE NOTED. \: MIN SLOPE@ 1'Y 6" 3" 2" DROP MIN. 114" 00 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3" DROP MAX. MIN SLOPE @ 1% L=50't PROVIDE WATERTIGHT o o ELEVATION = 46.95' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A *48.40' 13„ 4" PVC IN FROMJOINTS TYP. 0 00 Sow 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF I I ' SEPTIC TANK 4 PVC OUT TO 0 0 Q 0 0 o O �o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 47.90 48.15' LEACHING FACILITY 1- oo o o = o�-b o 0 �00 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 012" " 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. \--*47.70` 48" OUTLET TEE 47.17' MIN. 47.00' 4.0' 4.0' 4.0' (TYP.) 4.0' 8.0 4.0' 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6"CRUSHED STONE (TYP.) 64.0' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY GROUND WATER ELEV.= < 37.17'± 12A'- - NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 11.9'TO FND_ COMPACTED BASE 45,60 AND DESIGN ENGINEER. 6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 5'MIN. 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 48.05, TO BE INSTALLED ON A LEVEL STABLE OVER MECHANICALLY ESTABLISHED ON A REBAR CAP AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET r - LEACHING CHAMBERS FLOWDIFFUSu�c6) PROPOSED 1 ,500 GALLON SEPTIC TANK PIPES TO BE LAID LEVEL. ( CHAMBER END VIEW 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION LENGTH 10' '� WIDTH 5'-8#f DEPTH 5'-8�� (Dlmens,ons per Wggn I TYPICAL CHAMBER PROFILE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES Precast Corp , Pocasset, MA) TO THE DESIGN ENGINEER. ' CONTRACTOR TOVERFY SEPTIC TANK PROFILE DISTRISI. ITInKI PDX DETAIL CHAMBER DETAILS E�EVAT'ON AND REPORT "�` "NOTE: BASEMENT 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE ENG NEER F D FFERENT TO BE REPLUMBED 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING �' f-✓ `"'" - "' REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM -- - TEST PIT nATA F _ T PIT DATA ; APPROPRIATE AUTHORITY. - O PERC NO. 14999 PERC NO. 14999 - 4 12. - S � INSPECTOR: David W. Stanton, R.S. INSPECTOR: David W. Stanton, R.S. ALL SEPTIC SYSTEM C _- LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE EVALUATOR: Michael Pimentel, EIT,CSE EVALUATOR: Michael Pimentel, EIT, CSE THEY SHALL WITHSTAND H-20 LOADING. DATE: April 7,2016 DATE: April 7,2016 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. ,,.� • ... r -, \ ' X �� TEST PIT#: 1 TEST PIT#: 2 ,., ► i �,. y.,,., }4w-�--h� 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • �-._ - ELEV TOP= 49.50' ELEV TOP= 48.90' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. `"._., ' +f •- REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, / ELEV WATER= < 37.17' ELEV WATER= < 37.90' } tt• • II ' ' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). (r : "-. 11L} � • _l�„ •+ ,' PERC RATE = PERC RATE_ <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN MAP 237 U ;.• r. . .�"' - 1 C, . �r • DEPTH OF PERC= DEPTH OF PERC= 6,. -24„ SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. LOT 58 �� . � • o � ,�� , • 11p :'� �"T"""o11 TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 16. PROPOSED PROJECT IS LOCATED WITHIN: ` t �� • ,, " tR I ASSESSOR'S MAP 237 LOT 57 PROPOSED 1,500 GALLON • ' LOCUS ,�,�•: • • OWNER OF RECORD: JEFFREY T. & JILL W. LEVESQUE SEPTIC TANK ''' -EXISTING LEACHING PIT (PER AS-BUILT; •� • o ~� -~' LEVESQUE REVOCABLE TRUST EXISTING 1,000 GALLON SEPTIC TO BE PUMPED, REMOVED. AND a _ 03M 00 a' ' O '�� 0� 49.50' 0" 48.90' ADDRESS: P.O. BOX 65 REPLACED WITH CLEAN COARSE SAND PP PPMOVED PROPOSED / M �. d . i7 �' �1 FIII Fill WEST BARNSTABLE, MA 02668 .j "D-BOX" ROPOSED PVC VENT M �' - .. Q . a 6" 49.00' 6' 48.40' FEMA FLOOD ZONE X ao o d ,o S83•�27 ' 10N a �` a +� ;,` o; B Loamy Sand COMMUNITY PANEL# 25001 C0554J E mu o-�; E � �� 10Yr 5/8 17. DEED REFERENCE: BOOK 28667, PAGE 31 ' _" I ^t 24 46.90' 0' �-PROPOSED 7- r--~ '`� '�� 24" 47.50' Loamy Sand o LEACHING CHAMBERS B 10Yr 5/8 18. PLAN REFERENCE. PLAN BOOK 330, PAGE 64 FLOWDIFFUSORS WITH es STONE ) li 19, ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 0 4) `r 20. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A RESE `� � a�-' ,li. - � - - Medium-Coarse Sand 42" 45.40' RVE S d 1 'il s - C-1 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A , 2.SY 6/6 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. 15" a , co U rr• � ` +`"'.' � Medium to ;� -S0 'QF PROPOSED INSPECTION PORT C_1 Coarse Sand O �� ' o • ,, 2.5Y 6/6 �. 2) - - „✓1-011" 4"" `S� 96 41.50' 84" 41.90 GC-2 ;�� ' LOCUS PLAN 5Q 18' `� �GC-1 9" d TP 1 TP 3 j C-2 Silt Loam Fine Sand 2.5 6/6 C-2 2.5Y 6/6 T % % SCALE: 1" = 1000' - _.. 49x5'49x5' _ .- #19 EX. INV=47 T± __ �HC_l EXISTING GARAGE 11 (� " ' 148 37.17' 132" 37.90 LEGEND 3-BEDROOM PROP. INV=4$.4'± ENCLOSED DWELLING � �� ,__- No Mottling, Standing or Weeping Observed � No Mottling, Standing or Weeping Observed TOF = 50.9'± PORCH 9' `(4)- " 50x0 EXISTING SPOT GRADE G P2TP4% , DESIGN DATA I TEST PIT , TA I TEST PIT rl\TA STEP 8 �*;, PERC NO. 14999 PERC NO. 14999 50 EXISTING CONTOUR PATIO 948x9' (6 5) NUMBER OF BEDROOMS (EXISTING) 3 INSPECTOR: David W. Stanton, R.S. INSPECTOR: David W. Stanton, R.S. 50 PROPOSED SPOT GRADE 49, >, / NUMBER OF BEDROOMS (DESIGN) 6 EVALUATOR: Michael Pimentel, EIT, CSE EVALUATOR: Michael Pimentel, EIT, CSE - ..�.� �s _ � 12" -r`0,f- PROPOSED CONTOUR MAP 237 `w' M �`a-� BENCHMARK DESIGN FLOW 110 GAUDAY/BEDROOM DATE: April 7, 2016 DATE: April 7,2016 \ / t' �, 13'/ REBAR CAP TOTAL DESIGN FLOW 660 GAUDAY TEST PIT#: 3 TEST PIT#: 4 EXISTING UNDERGROUND UTILITIES LOT 57 4" �, - ELEV. = 48.05' DESIGN FLOW x 200 /o = 1,320 GAUDAY ELEV TOP= 49.50' ELEV TOP= 48.90' EXISTING GASLINE 121,532 ±S.F. 04' o ,.'' APPROX. M.S.L. ELEV WATER= < 37.1T ELEV WATER= < 37.90' EXISTING WATER LINE w LLIGHT POLE USE PROPOSED 1,500 GALLON SEPTIC TANK 44/ - - % TEST PIT LOCATION PERC RATE - PERC RATE - <2 min./inch �L\==-- --•,�' DEPTH OF PERC= DEPTH OF PERC = 6" -24' EXISTING 1,000 GALLON SEPTIC TANK J TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 a0 S O O O PROPOSED 1,500 GALLON SEPTIC TANK \ , PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE 7' INSTALL 7 LEACHING CHAMBERS 1 - �'� 0' 49.50 011 48.90 ® PROPOSED DISTRIBUTION BOX (FLOWDIFFUSORS) w/ STONE Fill Fill PROPOSED LEACHING CHAMBERS (FLOWDIFFUSORS) 6" 49.00' 6„ 48.40' N SIDEWALL CAPACITY B Loamy Sand (LENGTH + WIDTH) (2 SIDES) (1' HIGH) (0.74 GPD/S.F.) = GAUDAY 10Yr 5/8 24" 46.90' (64.0'+ 12.0) (2) ( 1') (0.74 GPD/S.F.) = 112.5 GAUDAY 24" 47.50' Loamy Sand B 10Yr 5/8 REV. DATE BY APP'D. DESCRIPTION BOTTOM CAPACITY PROPOSED SEPTIC SYSTEM UPGRADE N (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY _ Medium-Coarse Sand 42" 45AO' M N (64.0'x 12.0) (0.74 GPD/S.F.) - 568.3 GAUDAY C-1 2.5Y 6/6 PREPARED FOR: SWING-TIES Medium to CAPEWIDE ENTERPRISES � TOTALS: C_1 Coarse Sand 2.5Y 6/6 DESCRIPTION HC-1 GC-1 GC-2 GC-3 7 LOCATED AT TOTAL NUMBER OF CHAMBERS SEPTIC COVER IN (1) 17.4' 22.0' -- -- TOTAL LEACHING AREA 920 SQ.FT. 96" 41.50' 84" 41.90' 19 CARL IRMA DRIVE TOTAL LEACHING CAPACITY 680.8 GAL./DAY f SEPTIC COVER OUT(2) 15.9' 15.3' -- -- BARNSTABLE, MA 02668 Silt Loam Fine Sand NOTES: C-2 2.5 6/6 C-2 2.5Y 6/6 SCALE: 1 INCH = 20 FT. DATE: MAY 2, 2016 CORNER OF STONE (3) -- -- 13.6' 49.4 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH CORNER OF STONE (4) -- -- 24.3' 53.4' *��*�►RlEd rI o �0 20 4o ao FEET SEPTIC SYSTEM COMPONENT. 148" 37.17' 132" 37.90' CORNER OF STONE (5) -- -- 60.6' 27.9' +`v�_ No Mottling, Standing or Weeping Observed No Mottling, Standing or Weeping Observed /' JOHN L a' � � PREPARED BY: 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE ' CHU LLJR. ,� JC ENGINEERING, INC. PROPOSED LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA CORNER OF STONE (6) -- -- 57.1' 19.3' RESERVED FOR BOARD OF HEALTH USE '' UVILSHO 2854 CRANBERRY HIGHWAY SOILS ARE NOT CONSIS ON THIS PLAN. TENTORT WITHOTESTINEER PIT DATA. LOCAL BOARD OF HEALTH IF ?� P s 1807 EAST WAREHAM, MA 02538 SITE PLAN ,nc 508.273.0377 3). ENTIRE PROPERTY IS LOCATED OUTSIDE THE LIMITS OF A DEP APPROVED ZONE 2. I ! -- SCALE: 1"=20' Drawn By: SJI Designed By: MCP Checked By: JLC JOB No. 3429