HomeMy WebLinkAboutSeptic As-Built Town of Yarmouth
Subsurface Sewage Disposal System As-Built Information
Street Address: 4241 Ct)i LLOW 3TXLE€T" Map: 473 Parcel: ?
Owner Name: f2 e S e n i u 3 P1 e cii c A I C14/2 e , i s Permit#: /4-9¢ BOH De-/f-ZS,ga
Date Installed: '/97 11 /
New: • / Repair:
Installer Name: Ain 2 Pte)- Coo S 4-i vc4-te N cepl•tc _Sy 54°071" Installer Phone: 54- g9 778
4- I�Xea vet.-te►3 Con-P'
Installation of(list all components,both newly installed and existing to remain in use):
J ect'tcb well $ t�ev>-+ m 42` /per) ?Ali "[ II-2d Le4eg40514
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3i 66 o i w h.eL. 51, v '0*- 6,1-s iW
Leach Capacity(gpd): Ground Water Depth(inches): Health Inspection by:
As-built Diagram S 11-+ v a Ste¢
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NOV 15 2019
HEALTH DEPT
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BENCHMARK
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BENCHMARK
Top of Concrete Bound
Top of Concrete Bound
EL1 99.5 (Assumed Datum)
EL— 100.3 (Assumed Datum) I
N 89°0025" E
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205.25
5 89°0625' W
LEGEND
5T 5EPTIC TANK
DB DISTRIBUTION BOX
5As SOIL ABSORPTION SYSTEM
TIE DIMENSIONS
A 1: 73' 131: 84.5'
A2: 104' 52: 1 17'
I hereby certify that all work has been
completed In Substantial compliance with
the terms of the permit and approved
design plans. The work conforms with
Ma55achu5ett5 State regulations and
Yarmouth Board of Health regulations.
_sign Eng eer Date
RECEIVED
JUt- L 4 2019
HEALTH DEPT.
V A D A A r1 I IT 1-1
SITE LOCUS
NOT TO SCALE
I .) Assessor's Map 93 Parcel 9
2.) Deed Book 3628 Page 021
3.) Th15 property 15 in a Zone 11 of a Public
Water Supply
4.) Flood Zone: C
NOTES:
I .) PIPED INTO INJECTION WELL #21N RISER AND
ADDED A 4' SHIM TO WELL #2 TO OBTAIN THE G'
OF DEPTH REQUIRED IN EACH WELL. BOTH
WELLS WERE LOWERED PIN ELEVATION.
2.) PIPE FROM LEACHING CATCH BASIN #2 TO
#3 IS A SOLID PIPE.
RFV1510N 07/12/19: Added Notes, RewsedTic Dlmenslons.
5 ITE PLAN Prepared for: CSN
SCALE: 1 " = 30' Fre5enlu5 Medical Care, Inc.
24 1 Willow St. Yarmouth Port, MA
A5 -Built: Infection Well System T
O 30 60 90 24 I Willow St., Yarmouth Pori, MA
ENGINEERING
SCALE 1 "=30' C:\Ocean5ide\05-CCAKaCCAKC-A5-Built Plan.dwg Date: 06/25/19 5cale: As Shown I By: WC I Check: JZB I Project No. 05141 13
P.O. Box 201
Brewster, MA 02631
Phone: (508) 896-1783