HomeMy WebLinkAbout0120 PINE LANE - Health 120 PINE LANE
Barnstable
A = 278 - 006 - 001 _
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TOWN OF BARNSTABLE p
LOCATION -/A,' SEWAGE #
VII..AGE 0 4A A, J7,ALJ 4 ASSESSOR'S MAP_& LO' 26F
INSTALLER'S NAME&PHONE NO. ��f,��� �X 'f '•�y0
SEPTIC TANK CAPACITY S®®
•LEACHING FACILITY: (type) 4e,�p�j (size)
NO.OF BEDROOMS
BUILDER OR OWNER 63
PERMIT'DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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✓��p t��l�� �fy
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No. '
Fee
_/�o
THE COMMONWEALTH`OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0[ppYication for Miopozal *pgtem Construction Permit
Application for a Permit to Construct(V)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 17 C ?10 1Z� r•N- Owner's Name,Address and Tel.No. ! ACY PAT) N OM P
Z A i2N�"At i_'G 1"�
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Pp6707+� yc�� j j�f` Designer's Name,Ad�e �d Tel.No. .QIi/� J�/
o /,u�y 1Lf39 P �J C)y
f!�.b�I�a Lb ®u �2 ��3 ' J�'I�✓2��>z1� (Say]367, L',?Zz
Type of Building:
Dwelling No.of Bedrooms Lot Size 30057, sq.ft. Garbage Grinder( )
Other Type of Building S►06X TAM, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 4 H gallons per day. Calculated daily flow LI 59 gallons.
Plan Date 3-3 i d 0& Number of sheets Revision Date
Title
Size of Septic Tank 000 0 Type of S.A.S. 3 500 al GNP"Mr F*
Description of Soil Q Ir - 1Z 1� j R q Z,- Lj&1'
Nature of Repairs or Alterations(Answer when applicable) RGPP ilk F r I w J`mSnp-1
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 Ooard
f the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been ' of Health.
Signe e Date w 4 0
Application Approved by Date
Application Disapproved for the following r s s
� .
Permit No. Date Issued
— -
No.
Fee k2)
f �
THEJCOMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppficatton for M!5pogar *pgte " �ottgtruction ermit
f // _�� i
Application for a Permit to Construct(v)Repair( )Upgrade( )Abrandon( ,_) ❑Complete System ❑Individual Components
Location Address or Lot No. IZo 1p l ij r, LN Owner's Name,Address and Tel.No."M ay PAr M Eqpt(')N
i3ARwS�BLti '
r Assessor's Map/Parcel 2_7 b/ b O G /O U/
r
Installer's Name,Address,and Tel.No. Pq/ j071Z; &e tgV)q j$�i Designer's N�XAddress and Tel.No. 10
13
y-1-9SOD (508)367- 29z2
Type of Building: jJ
Dwelling No`.of Bedrooms "1 Lot Size 3y0 S'Z sq.ft. Garbage Grinder( )
Other Type of Building Ss N6UU FAM, No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow L140gallons perday. Calculated daily`flow I gallons.
Plan Date ' 3 I` CA Number of sheets Revision Date
Title
Size of Septic Tank 000 4( Type of S.A.S. 3 500 q) GHAM 55rifUSR
Description of Soil O ' IZ it L-S Q Z -. l� S L_ G ���_ �L ul! F�M�
Nature of Repairs or Alterations(Answer when applicable) KOPA I F A l Lzo 5 lys m'-&
t
Date last inspected: a
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 TitIg of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has beMd oazd of Health.
Signe 17C Date 4-�W-,G 7
Application Approved by Date .1
Application Disapproved,,'for the following r as ns f
Permit Nov �f Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS s ,
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded( )
Abandoned( )by RASTV ti C c.AV P,71
at Q O PIMB 14 L5�> I _ has,,been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit N . . dated .
Installer }PASTOMB T73e LAVA—r1 h-rJ Designer DARA:r'iv M YT;fiu"/ L
The issuance of this perm tgsha l not be construed as a guarantee that the sy_t m ' £r ctiio Z"desi�g�U_eh U �� CDate 7 12 Inspector 1 �0 G ^�J
6/
' s
No. / `Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
igpogal pgtem Construction Permit
Permission is hereby granted to Constru )Repair( )Upgrade( )Abandon( )
System located at IZ-U 1P lub
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Constructidn must be completed within three years of the date of th'"s9permit
Date:_ 0710 ! Approved by
Town of Barnstable
IHE k'L Regulatory Services
Thomas F.%Geiler,Director
BARNSTABLE, ' Public Health Division
Thomas McKean,Director,
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: ,508-790-6304
y'
Date: Sewage d Permit � Assessor's 1VIap/Parcel 76P �i-v0
Installer & Designer Certification Form
Designer:
Address: $ Address:
On /�j'�Z �� � was issued a permit to install a
date) (installer)
septicsystem.at r �a�/?1' based on a design, b
p � Y
(address)
/��A46�i� dated.
(designer)
XI certify that the septic system referenced above was,installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. 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 anyvertical 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) was inspected and the soils
were found satisfactory.
( tall s Signature) . rr -
1 r -
`
v
,a
esigner's Signature) (Affix p Here)
PLEASE RETURN TO B STABLE 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:\office forms\designercer ification form.doc
Map Page I of 1
Town of Barnstable Geographic Information System
Parcel Viewer Custom Map Abutters Map Size MEN Zoom Out I jIn
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1 :: ►: ti / N ® JPG Map: 278
Location:
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Owner:
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Location In
Map & Parce
Location
7� Acreage
'•`�c A°"y� Current Ow
Mailing Addi
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Appraised
IV � ' *1 i ft. r Extra Featur
^��� `+.� • - Out Building
Land
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Buildings
Total Apprai
W, Assessed V
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,` •� � , ,y� ' Extra Featur
10 ,
'�� � . .A. , •r `*f Out Building
r 2'r8u47 Land
► At —�`—S Buildings
--� ri•-�
Set Scale 1" = 53 I (April 2001 Hi Res Total Assess
Copyright 2005 Town of Barnstable,MA All rights reserved.Send questions or comment:
BarnstableMA v0.2.91 [Production]
http://www.town.barnstable.ma.us/arcitns/appgeoapp/map.aspx?propertyID=27800600I&... 4/27/2007
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The plans and specifications for every on-site system shall be prepared as follows:
(1) Every system shall be designed by a Massachusetts Registered Professional.Engineer
or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a
system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203.
Any other agent of the owner..may prepare plans for the repair of a system.designed to
discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided
they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving
authority;
(2) Every.plan submitted for approval must be dated and bear the stamp and signature of
the designer,
(3) Every plan for a new system or plan for the upgrade or expansion of an existing system
which requires a variance to a property line setback distance;'must.also reference a plan
which bears the stamp and signature of a Massachusetts Licensed Land Surveyor in
accordance with M.G.L.e: 112, § 8113;
(4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot
plans and one inch = 20 feet or fewer for details of system components) and shall include
V/ depiction of:
(a) the legal boundaries of the facility to be served;
r (b) the holder and location of any easements appurtenant to or which could impact the I e ) V�. �
system;
(c) the location of the all dwelling(s)or building(s)existing and proposed on the facility
and identification of those to be served by the system;
o�
-(d) --the-location of existing or proposed impervious areas, including driveways and -„ n
parking areas;
(e) location and dimensions of the system (including reserve area);
(f). system design calculations,including design daily sewage flow, septic tank capacity
r uired and provided); soil absorption system capacity (required and provided); and
L ether system is designed for garbage grinder.
North arrow and existing and proposed contours;
(h) , location and log of deep observation hole tests including the date of test, existing
grade elevations marked on each test, and the names of the representative of the
approving authority and soil evaluator;
(i) location and results of percolation tests including the Gate of test and the names of
the representative of the approving authority and soil evaluator.
name and certification number of the Soil Evaluator of record;
(k) location of every water supply,public and private,
1_ within 400 feet of the proposed system location in the case of surface water
supplies and gravel packed public water supply wells,
2. within 250 feet of the proposed system location in the case;of tubular public
water supply wells, and
3. within 150 feet of the proposed'-system.location in the case of private water
supply wells;
) location of any surface waters of the Commonwealth, rivers, bordering vegetated
wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone,
surface water supplies,tributaries to surface water supplies,certified vernal pools,private
water supplies or suction lines, gravel packed or tubular public water supply wells,
subsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen
. sensitive area identified'in 310 CMR'15.215 within which portions of the proposed
�jp are located.
�"Yocation of water lines and other subsurface utilities on the facility;
(n) observed and adjusted ground-water elevation in the vicinity of the system;
o) a complete profile of the system;
(p) a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought
in conjunction with the plan;
/ (q) . the location and elevation of one benchmark.within 50 to 75 feet of the facility
l/ which is not subject to dislocation or loss.during construction on the facility;
(r) when dosing is-proposed,'complete design and specification of the dosing system
proposed inciuding.but not limited to dosing chamber capacity (required and provided),
ump curves and specifications,number of dosing cycles and depth per cycle;
(s) when a Recirculating Sand Filter or equivalent alternative technology is required or
roposed, a complete plan and specification for the system,including a hydraulic profile;
(t) a locus plan,to show the location of the facility including the nearest existing street,
(u) the street number and lot number, if any, of the facility; and,
v) the materials of construction.and the specifications of the system.
_ r
TOWN OF BARNSTABLE " (J �'to
LOCATION SEWAGE # �a 3
VILLAGE !l�?fR/V5�13�SC G� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. 03?c--)
SEPTIC TANK CAPACITY y
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER (PU&-r--
BUILDER O l /V�/STD✓
,DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No r-
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No...q
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliration for Bi"wiaf Workii Tnnittrnrtiun Vamit
Application is hereby made for a Permit to Construct ( ) or Repair (VI""'an Individual Sewage Disposal
System at,:
.............. ,� . ... � ..... nl- ...........................----
L ati Addr
. :._. . ------------ -------- ?--.......... ....V.. ...�'.... - -
Owner dream
w `t - G� 3 7.u• ...•e . .
. ram.. :...
ss
� Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms........C`14.............................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of persons............................ Showers
a YP g --------•----•-•----•---•--• P ( ) — Cafeteria ( )
a' Other fixtures ..................................
Gil Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq:ft.
�. Seepage Pit No-----------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
LX, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water----•-_____-_-__-____.
P4 •---•-•----•-•-------•---•---•-•--••-••-•--••---•-•------•••----••--•-•---•.................•--••---.........................................................
0 Description of Soil...............................................................................--------------------•-•---------------•-•--•-------------------------------•-•--.....-
W
V -----------------------------------------
•------------------------------------------
•------------------------------------------------------------------------------------------
--------------
W
------------------
U Nature f Repairs or Alterations—Answer when applicable___��`� Z-.... .......�TD•�-_�-,, .
-g- -----
---- - .......Z---�1.....�16V�L-------------------------------------------------------•---------•---------•-•-----•---••--------.------
Agreement �r�
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental de—The undersigned further agrees not to place the
system in operation until a icate of Compliance, seen issued by the board of health.
Signed .................. . ........... . ... ------q�---
......--
Application Approved By ... ..... ........ ..................
...... ..... ............ ........... .... .. .......---.---..--...... ..............-- ..................
Date
Application Disapproved for the following reasons- ........................................................ -----. ---. ------------------._-..........................
------- ------.-----.
Date
PermitNo. ........ 4L71------------- ....... Da....---. Issued ...------------------... ----------------------------- ------
Date
is
4
No.- -> Fims... v.'.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
AVp iration for Dhipoiial Hlorkr, Tnnlitrnrtinn thrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( /an Individual Sewage Disposal
System at• _
locationw -Addressl or Lot o.
--- ..
,s -' / �r-�
.......... iUJ� f s l JJ //��� +c C 1 . _, G'.. /�....!7 !dress' . - �.
Installer Address
d Type of Building , / Size Lot......................... Sq. feet
V Dwelling No. of Bedrooms'._------`k----__-•-•..___-•__-.•__-___Ex Expansion Attic a g— p ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures -----•--------------------------------------------•--------------------------------------------------•----------------------.-------------------•----
+ Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x, Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3,e Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ...............................•............................................................................................................................
0 Description of Soil........................................................................................................................................................................
x
U -----------•---------•-----------•--•-•--•---•------•----•-••----•--•-••-----•-----•-•••••---•-----•••----------•-----------••-------••-•••-•-•--•-•------•---••--•---•---...-•---•-•----•--------------
w
--------------------------------------------•-------------------------------------------------------------------------._....... ----_--_----------•--�--•-•----•--•....---•------•- --•�•--
U Nature of Repairs or Alterations—Answer when applicable.---/_. (::;A C____ ____________�ri)_,.��__G-.- A
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 undersigned further agrees not to place the
system in operation until a Ce ' icate of Compliance has een issued by the board of health.
Signed ------------------ -.............: � :.. "��z--
--- •,.>_ Dare
ApplicationApproved By - ---- --- - ........ --------------------------------- -------------- ------ --- ---------------_---- .................
' Dale
Application Disapproved for the following reasons: --- -------- ---------------------------------------------------- - -------------------------------------------------------
------------- ................................
PermitNo. ------------- Issued ---- .............................................................
Date
3'
Dare
t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
CEe>r#tft.ca#e of Compliance
THIS IS TO CERTIFY That the Individual ewage Disposal System constructed ( ) or Repaired
by-....... .-------- -.c.:.--C „�_r--....
Installer -�-�
has been installed in accordance with the provisions of TITLE 5 #� e State •Ttfinental Code as described in
the application for Disposal Works Construction Permit No. ---- .- ...:... Q� dated -------- -----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BECONSTRUED AS A THAT THE GUARANTEE EE NT T
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.....................��. --:..--------�-�---------------------------------------------- Inspector ....... ..................-------- ----- ----------
ivV �
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No------- --------- FEE........................
Uispsal Works Tuanitrndion ramit
Permission is hereby granted..... % ._ ....... K._. ................................................................._S r
------------------------------------------------------------
to Construe_ ) or Repair ( an Individual Sewage Disposal.S.7§tem
at No........ -•_�-------�- I-------------�1�'-e`'-----�'S.... �....+V� ��- �---- �.
Street
as shown on the ap lica 'on for Disposal Works Construction Permi ot_ to ... ..... ................... c
DATE......-��._-- --•----•--------- -----•------------------------- Board of Health
FORM 36508 HOBOS&WARREN.INC..PUBLISHERS
I CERTIFY THAT THIS PLAN WAS PREPARED
gt. D N IN ACCORDANCE WITH THE RULES AND
REGULATIONS OF THE REGISTRARS OF DEEDS
*2 JUL 22 ADOPTED JUNE 19, 1975, AND AS AMENDED
O JANUARY 7, 1988. e.
n
u If1!
+ � ARNE H. OJALA P.L. DSP.L. ANTE
5 Locus
W
USGS - HYANNIS QUADRANGLE
taco o t000 z000 FOR REGISTRY USE ONLY
1'- 1000 FEET
ASSESSORS MAP 278 i.
PARCELS 6-1 & 8-2 -
ZONING: RC
FRONTAGE - 20' WIDTH - 200''
AREA - 65,000 SF
SETBACKS: FRONT r 30' T r.
_ _ STA. 2046 + 18.57
` REAR` - 1SIDE OF PINE LANE
5' INT. OF SIDELINE 47
a AQUIFER PROTECTION AREA 1 y
FLOOD ZONE'C BARNSTABLE T _ �o n '
a
COMMUNITY PANEL #250001 0003 D
JULY 2,`1992
OWNER'OF RECORD:
ROBERT GERALD LIVINGSTON 10.25' MO,�p�EEp
3514 RAYMOND STREET - `lam
CHEVY CHASE, MARYIAND �g S ' O�_g'LSE
� �y' q•gJ'37 - L/ArE
REFERENCES:PIAN BOOK 329 PAGE 35 a�
PLAN BOOK 290 PAGE 59 eC FCES W gUS E 3yO•l>'
DEED BOOK 3487 PAGE 183 gRO$N
`
SET13,Oe
. _
4 /O CB
IFND
► Q�.� �a�Q i��pN n �"` N rM1 325.41
4! /Q• �'�w0'71 � mN:ho N/F j29'
CONRAD
Aor�t WESSELHOEFT
lLlIleex�s ' ;� w DB 982 PG. 209 .
LOT 1 C N 78.22 33.,FND
W c
30,052 sq.ft. w / 155,0p, _
0.59 acresco
CB
FKD
" (r 20.14
R=15.02 o / '
r
cn _
• s h srFaa FRANCES W. BUSH BROWN ,
N F r.
O y R428.2T L�B,e ��lj , �SET LOT 3 ti
m 4 f i +4I ;q3 s d <iJ B .. o/h PB 338 PG. 13 „
DB 9019 PG. 188 „
S 8B S7 552'4B E
MX/TCX Bar Porch LOT 2 set
ser '.I i A' B 88e / 13.705 sq.ft. r
exist
In 0.31 acres
OS� dWelll�g'
tui N13p b ,
o�
New 6 s3. �,• srua
WOME
DOUNDq2S' m• 3g2 set
' FRANCES W. BUSH-BROWN N *?3 0o h1
LOT 3 7j3t
ttta
PB 338 PG. 13 '
DB 9019 PG. 188
NOTE: '
SEE SPECIAL PERMIT APPEAL 2001-116 PLAN OF LAND IN
GRANTED AND SIGNED 10/12/01.
BARNSTABLE, MA
r BARNSTABLE PLANNING BOARD PREPARED FOR
APPROVAL under Nor REQUIRED" ROBERT GERALD LIVINGSTON
1. D - •SCALE: 1' 40' DATE: OCTOBER 17, 2001
21
40 0 40 80 120
aft aoe(sea-oM1
r to fO!�-YSeO e. -
down cape engineering, inc: r
NOTE: //A- c
NO DETERMINATION AS TO COMPLIANCE WITH I:j H. '
CIVIL ENGINEERS THE ZONING ORDINANCE REQUIREMENTS HAS l ` 0,A `
LAND SURVEYORS BEEN MADE OR [(TENDED BY THE ABOVE : ax ET: r
ENDORSEMENT. - -/0 ----
- --
939 main St. Yarmouth, ma 02675 DATE
m 00-280
"
8
�A ASSESSORS MAP : ajs TEST HOLE LOGS NOTES:
PARCEL : 00( i oot 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH
r '1 SOIL EVALUATOR : T . WIC' P RS C5C. THIS PLAN, 1995 MASSACHUSETTS TITLE V & TOWN OF
FLOOD ZONE : NUN I'
I' Ay-NSTA�Li� BOARD OF HEALTH REGULATIONS.
WITNESS : � : N l �MPtQ.�kl�i BAR-N5. P�-U.�.
REFERENCE : Iq97 DATE : LIC-7T I(Q 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES,
<b PERCOLATIO SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO
t / INSTALLATION.
\ Sur ek r�k-�N' ' of TH- I EL= 6,- _� TH-2 �L= (o6 .6 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION
e - 0 ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE
fk LOv� IU 4 R (.U'4""`'l 4 DETERMINATION.
\ Ca2-I�l E,Q PL PT- �L pol.j F� Spa `!f �1 SRC �1
- 0l1 1� I l2' (�5 �3
t)ovj c. �+ ��G . �?-�,D I ` 6 SI�-NIp� I�y��j ,Spt1'jV�� 4) ALL PIPING 1/8 "/ FOOT. (UNLESS
Ivy (a�� S D OTHERWISE)
(.1jgM LOAM
LOCATION MAP(0 T-S) -- -_ . "
(4U- �O 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE O
�1 GARBAGE DISPOSAL.
6) SEPTIC TANKS AND DISTRIB S (WHEN INSTALLED)
e C �GD I v,M, c
1 " NIA C - (o Z_D�j MUST BE PLACED ON A MECHANICALLY COMP R
A BASE OF 6"OF CRUSHED STONE.
Z,SY �� 7_l � - ti k USA ll
� �:�0,38 ��Tl i� ��h c..t-r I�J
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SITE AND SEWAGE PLAN
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No. 1 140
�o LOCATION : 12 tF'Jt\4L L61,!L
G�STF..�
Jo6 PREPARED FOR : LlV/t4fTbAJ
DARREN M. MEYER, R.S.
SCALE :
w DATE : 8131 Z06
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P.O. BOX 981
EAST SANDWICH, MA 02537
w DATE HEALTH AGENT Ph: (508) 362-2922
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