HomeMy WebLinkAbout0133 ELLIOTT ROAD - Health 133 Elliot Road i
Centerville
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UPC 12534
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Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name v
information is
required for every Centerville MA 02632 February 6, 2017
page. City/Town State Zip Code Date of Inspection
t-+
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 A. General Information 5
filling out forms J 141 1v2 133
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not David D. Coughanowr
use the return Name of Inspector
key.
Eco-Tech Rapid Response
r� Company Name
155 George Ryder Road South
Company Address
Chatham MA 02633-1621
City/Town State Zip Code
508 364-0894 1328
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 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 to Section 15.340 of
Title 5(310 CMR 15.000). The system:
® Passes _jir1OF41 qcy El Conditionally Passes El Fails
ASS
❑ Needs F r Efiltlo `b the Local Approving Authority
COUGHA WR En
No. 2810A .? 101. February 6, 2017
Inspector's Signa , FM iN5P�G Date
The system inspector s all 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 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
r Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not:for Voluntary Assessments
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6 2017
required for every ry
page. City/Town State Zip Code Date of Inspection
B. Certification (cost.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I 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:
Inspector's Notes==> The septic system described herein is deemed to pass this Real Estate
Transfer Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-
5, or specified by local regulations. The scope of this inspection is limited to health and environmental
compliance and the septic system has been evaluated according to the conditions observed on the
day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing
determination.
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;tarik�(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. :f k ,
*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;oldsis,avaiiable.
❑ Y ❑ N ❑ ND (Explain below):
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every rY
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
15.303(1)(b)that the system 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
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every ry
page. City/Town 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
El ® 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
❑ ® q P cesspool
Liquid depth in is less than 6" below invert or available volume is less
than '/2 day flow
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every
page. City/Town 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.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 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
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is required for every Centerville MA 02632 February 6, 2017
page. Citylrown 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
°M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: 2
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
Seasonaluse? ❑ Yes N No
Water meter readings, if available last 2 ears usage 89 gpd
9 ( Y 9 (gpd)):
Detail:
2015: 20,000 gallons 2016: 45,000 gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: currentDate
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins.doc rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
;M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is required for every Centerville MA 02632 February 6, 2017
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: owner
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/Alternative 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
,M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
Age: 28+ years Certificate of Compliance for a new system was issued 4/19/1988 (Permit#87-512 at
Health Department).
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2.5
feet
Material of construction:
❑ cast iron ®40 PVC ❑ other(explain):
Distance from private water supply well or suction line: 10+
feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
Sewer line appears structurally sound with no evidence of leakage or backup into dwelling.
Septic Tank (locate on site plan):
Depth below grade: 1
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:
8.5'x 5'x 6'-1000 gallon
Sludge depth: 6 inches
t5ins.doc-rev.6/16 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
^M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February6 2017
required for every
page. City/Town 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
28 inches
Scum thickness 1 inches
Distance from top of scum to top of outlet tee or baffle 9 inches
Distance from bottom of scum to bottom of outlet tee or baffle 14 inches
How were dimensions determined? As built card
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Pumping not requireded at this time. Maintenance pumping is recommended within 2 years and
every 2-4 years thereafter. Tank and tees appear structurally sound and functioning as intended. No
evidence of leakage in or out was observed.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
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
Date of last pumping: Date
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17
f
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
wM 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every rY
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:
Material of construction:
❑ concrete ❑-metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity: gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins.doc•rev.6/16 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
M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owners Name
information is Centerville MA 02632 Feb 6 2017
requi ery February
red for every
page. City/Town 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 at 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.):
No adverse conditions observed.
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.):
* 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
;M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every rY
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1
❑ 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.):
No evidence of surface ponding, breakout, lush vegetation, or other evidence of hydraulic failure was
observed. A hole was dug into leaching pit stone and no effluent contact staining was observed in the
stone or overlying soils. No standing effluent was observed to a depth of 2 feet below the top of the
peastone layer.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth —top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins.doc-rev.6/16 Title 5 Official Inspection Form: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
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is required for every Centerville MA 02632 February 6, 2017
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.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is required for every Centerville MA 02632 February 6, 2017
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
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 separately
L0C A IONS
THIS SKETCH IS -OF SEPTIC COMPONENTS
BEST VIEWED IN -DISTANCES IN DECIMAL FEET
COLOR FORMAT
A B C D
1 --- --- 14 15
2 31 25 --- ---
EXIS TWO
DWELUNG
# 133
ID NOT
A j TO
B Z n C SCALE
m m
a
Q
3 LEACH D-BOX
Uj PIT
Ej
cr
1000 c
2 GALLON
SEPTIC
TANK
;o u,
COMMON PAVED DRIVEWAY ) ••
PFSP�
508 364-0894
t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6, 2017
required for every ry
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 15+
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: 8/10/87
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:
You must describe how you established the high ground water elevation:
Approved design plan on file with the Board of Health shows bottom of system to be 4 feet above the
bottom of a witnessed test pit in which no water was encountered. Approved design plan shows
property to be 15+feet above an ajacent wetland
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
o wM 133 Elliott Road Road Assessor's Map: 248 Parcel: 312
Property Address
Stamatina Rigas
Owner Owner's Name
information is Centerville MA 02632 February 6 2017
required for every ry
page. City/Town 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
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
GEOHYDROLOGICAL PROFILE
- NOT TO SCALE
Z itJ
PRECAST Z
O
LEACH w
PIT
Z
O
BOTTOM OF a
LEACHING
Ln
PER DESIGN �1-u
PLAN
LEACHING IS
RVEHIGH� OUNDWATE
R
w
O
NO
GROUNDWATER
ENCOUNTERED
t5ins.doc-rev,6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
'wM 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required for every September Centerville MA 02633 2, 2014
page. City/Town State Zip Code Date 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 ILL I J G
'1 on the computer, U 0
use only the tab 1. Inspector:
key to move your
cursor-do not David D. Coughanowr, IRS
use the return Name of Inspector
key.
Eco-Tech Rapid Response
r� Company Name
155 George Ryder Road South
Company Address
arum Chatham MA 02633
City/Town State Zip Code
508 364-0894 1328
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 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 to Section 15.340 of
Title 5 (310 CMR 15.000). The system:
® Passes ��,��IN of 4f,yss9c ❑ Conditionally Passes ❑ Fails
o� DAVID yes
❑ Needs er EvOuation e Local Approving Authority
L) COUGHA WR
No. 28 P�—
R
September 2, 2014
Inspector's Signatur Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or D,EP)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 Ins a ti orm:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts r
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required for every Centerville MA 02633 September 2, 2014
page. City/Town 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:
Inspector's Note==> The septic system described herein is deemed to pass this Real Estate Transfer
Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5, or
specified by local regulations. The scope of this inspection is limited to health and environmental
compliance and the septic system has been evaluated according to the conditions observed on the
day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing
determination.
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's,imminent. System will pass
inspection if the existing tank is replaced with a complying septic tank,'bs approved by the Board of
Health. 4
} ' I f�
fi
*A metal septic tank will pass inspection if,it is structurally sound, n&'leaking and if a Certificate of
Compliance indicating that the tank is less than 20-j%e6rs old is.ava'[ ble.
❑ Y ❑ N ❑ ND (Explain below):
l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
f
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
° 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2 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
15.303(1)(b)that the system 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
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts '
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required for every Centerville MA 02633 September 2, 2014
page. City/Town 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
El ® 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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17
Commonwealth of Massachusetts
w Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
° 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is P required for every Centerville MA 02633 September 2, 2014
page. City/Town 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.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 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
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area— IWPA) or a mapped Zone II 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required_for every Centerville MA 02633 September 2, 2014
page. CitylTown 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?P
® ❑ 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
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
wM 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. City/Town State Zip Code Date of Inspection
D. System Information
Description:
A 3 bedroom system was installed by Arch Construction in 1988.
Number of current residents: 0
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 d 18 gpd
9 ( Y 9 (gpd)):
Detail:
2012: 8000 gallons 2013: 7000 gallons 2014 (first half): 1000 gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: 1 week ago
Date
Commercial/Industrial Flow Conditions:
Type of Establishment:
Design flow(based on 310 CMR 15.203):
Gallons per day(gpd)
Basis of design flow (seats/persons/sq.ft., etc.):
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
L W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required for every Centerville MA 02633 September 2, 2014
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: owner's agent
Was system pumped as part of the inspection? ® Yes ❑ No
If yes, volume pumped: 1000
gallons
How was quantity pumped determined? standard 1000 gallon tank indicated on design plan.
Reason for pumping: Maintenance
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/Alternative 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
o^M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p required for every Centerville MA 02633 September 2, 2014
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
26+ years. Certificate of Compliance for a new system was issued 4/19/1988 (Permit#87-512).
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 3
feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Sewer line appears structurally sound with no evidence of leakage or backup into dwelling.
Septic Tank (locate on site plan):
Depth below grade: 1
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:
8.5 x 5 x 6-1000 gallon
Sludge depth:
14 in
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
;M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. City/Town 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 20 in
Scum thickness trace
Distance from top of scum to top of outlet tee or baffle 10 in
Distance from bottom of scum to bottom of outlet tee or baffle 14 in
How were dimensions determined? Design plan
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Pumping was done at time of inspection. Maintenance pumping is recommended every 2-4 years
with year round occupation. Tank and tees appear structurally sound and functioning as intended. No
evidence of leakage in or out was observed.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
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
Date of last pumping: Date
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. City/Town 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:
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Capacity:
gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•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
133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. Cityfrown 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 at 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.):
Camera inspection showed no adverse conditions.
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.):
* 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
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
C4M , 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1
❑ 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.):
Soils above leaching system appear unsaturated. No evidence of surface ponding, breakout, lush
vegetation, or other evidence of hydraulic failure was observed. A hole was dug into leaching pit
stone and no effluent contact staining was observed in the stone or overlying soils. No standing
effluent was observed to a depth of 2 feet below the top of the leach pit.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration
Depth —top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2, 2014
page. City/Town 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.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
° M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p
required for every Centerville MA 02633 September 2 2014
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
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 separately
F231
T00NS
THIS SKETCH IS IC COMPONENTS
BEST VIEWED IN ES IN DECIMAL FEET
COLOR FORMAT
--- 14 15
25 --- ---
EX§STING
DWELLING
# 133
NOT
A D TO
B C SCALE
a �
3 LEACH D—BOX
LU PIT
1 zo
D IT o IDDo m
2 GALLON
SEPTIC
TANK
COMMON PAVED DRIVEWAY • •
• ,
508 364-0894
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�M 133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is required for every Centerville MA 02633 September 2, 2014
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 15+
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: 8/10/1987
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:
You must describe how you established the high ground water elevation:
Approved design plan on file with the Board of Health shows bottom of system to be 4 feet above the
bottom of a witnessed test pit in which no groundwater was encountered. Approved design plan
shows property to be 15+ feet above adjacent wetland.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
�I
Commonwealth of Massachusetts
W Title Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
133 Elliott Road -Assessor's Map 248 Parcel 312
Property Address
Marilyn and George Holland
Owner Owner's Name
information is p required for every Centerville MA 02633 September 2 2014
page. Cityrrown 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
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
GEOHYDROL OGI CAL PROFILE
— NOT TO SCALE
2
a
a
1 PRECAST Z
O
LEACH W
PIT
Z
O
BOTTOM OF a.
LEACHING �—
PER DESIGN
o PLAN
LEACHING IS
ABOVE HIGH
GROUNDWATER
w
O
- NO
GROUNDWATER
ENCOUNTERED
l5ins--3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
.9SESSOIRS WP NO: 4-A 9 SUBJECT TO APPROVAL OF T
BARNSTABLE CONSERVATION
— l-.2- r CONiMISg ....
SION7,c:.,Z
No-------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARD OF ,,/HEALTH
............ .......OF........ I/P/U-�STfI!JL1...................................
Appliratiun for Bi_qpuuFal Works Tonutrur#ion Prranit
Application is hereby made for a Permit to Construct (V115 or Repair ( ) an Individual Sewage Disposal
System at:
.1-01.._.-.3.-f3,4,5 LJ_1Q 1e i�. - C TF_X ✓l E
--------�:�........-••----•--1=.... ..........................................
Location-Address or t No.
ep
---- ------
C-T 71 �r Owner. Address
W �� -�.�� ......t'l�.�1�5-7QN� /vl/LL5
Installer Address
dType of Building Size Lot.a.6---AI- --------Sq. feet
U Dwelling—No. of Bedrooms..........................._----------------Expansion Attic ( ) Garbage Grinder (A10)
Other—Type yp of Building ____ No. of persons____________________________ Showers ( ) — Cafeteria ( )
Lv00®.-f,PA��E
PLOther fixtures --------------------------------------------------- -....
Design Flow...............55
....................... per person r day. Total d�ily�iow...............,��Q..................gallgn�j
W �
R; Septic Tank—Liquid capacity/.00___gallons Leng Width..A-,'Q__. Diameter---------------- Depth......
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area----------_---------sq. ft.
Seepage Pit No-----------I--------- Diameter......... -D.__. Depth below inlet.............. Total leaching area.Z40 -00..sq. ft.
Z Other Distribution box (-/-) Dosing tank ( )
aPercolation Test Res Performed by.... � Ler................... Date----it.�__9,.,._b..............
Test Pit No. I----------------minutes per inch Depth of Test Pit......tAlt __ Depth to ground water.. ..._.. (�
(S, Test Pit No. 2..G�-_-_minutes per inch Depth of Test Pit...... .__.. Depth to ground water.. .. ..........V
W .(f.. ---•-•-------------------------------Y....................................., ........................................................
--------------
-
O Description of Soil---•t-- .... L� { l _ _..�--" ........ --��0.....................................
w �51GNING--ENGINES -MtMT-SUF�VISl=----------
-
------------------ --- --- --
tEN-AN®--CERTIFY,-IN--WRIT11�)G-----------
U Nature of Repairs or Alterations—Answer when applicable.Tll E-SSy,S-'r�EM-.SAS_iNSTAtLED-IN--STRICT-------__.
------------------------------------------------------------------------•--------------------------------ACCORDANCE-TO-";-----------------------------------------•------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
f^IT�'1�^
the provisions of 1: t� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certifi to of Compliance has been issued by the board of health.
�! Signed_------ ----------------------- -------- -----�...... ......--- . .. ..-�7
A lication Approved B ��- -•--------•---------------------------- fat`--e-.
PP y.
Date
Application Disapproved for the following reasons:----------•••......--•-•---•---•-----------•-----•-•--•-•--•----------------------•----•----•--•----------------
-------------------•----------•--------------•-•••----•-------------------------.............---------------•-•---•---•----------------------------------......-----•---------•---•---------------•..._.
Date
Permit No...... .7.`..........�:.....----•-.. Issued------..� --Jo,
.............................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ruliV.............oF......... T.....2.15LE...........................
Tatifiratr of Tout liFanrr
THIS I TO CERTIFY a�t� ?e Individual Sewage Disposal System constructed (Z) or Repaired ( )
by...... L.... t............. ------
atL¢7 ' Installer r/lLL ---------------------------------------------------------------------------------
has been installed in accordance with the provisions of TiTI of The State Sanitary Cod as escribed in the
application for Disposal Works Construction Permit No.___- ---��_�'2....... dated.__.. ._6 -----------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
No................-....... F.Ei3..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF /HEALTH
7.0WA1........OF...... J Ii J- _%
Alipfiration for Disposal Works Toustrurtion jbrmit
Application is hereby made for a Permit to Construct (V.00") or Repair ( ) an Individual Sewage Disposal
System at:
............. -••--•--------------•-•----•-•--------.............--......------------..............------
•Address j No.
ocat;on or�g
4=:_.}�l_:..: �x• '�Al C� i/J...I.1
.................. ..........------.
Owner Address
6 MIL
............. ---••----••-•-•-------------•--•.......
Installer Address
d Type of Building Size Lot (,- '?. ---------Sq. feet
V Dwelling—No. of Bedrooms............0................. .....Expansion Attic ( ) Garbage Grinder �/O)
~ No. of persons............................ Showers —
pa,, Other-Type of Building��l%�_.?��!9:"�!�.._.__ p � ( ) Cafeteria ( )
134 Other fixtures ---------------------------------------------------------•-•-•---•-•--...---.._....--------------•-••---•---•--•••...----•---•--•--••--•......_..----
d
W Design Flow................55................------gallons per person par-day. Total daily flow...._......-_.....�.�._____.._..__._..__gallpn�t
WSeptic Tank—Liquid capacity/404....gallons Length__O.U... Width---.16... Diameter________________ Depth___..__ _ .
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area____-_----------_---sq. ft.
Seepage Pit No........... ......... Diameter........l_O_---__ Depth below inlet.......4p........ Total leaching area_MUL-DI..sq. ft.
Z Other Distribution box Dosing tank ( )
Percolation Test Results Performed by._•-_ .> s 7 .f_ f........�.................... Date...<<_ . I1�__........._..
W _
Test Pit No. I..��.minutes per inch Depth of Test Pit---- Depth to ground water__ N.
_ ._ _.
I� �--
(s, Test Pit No. 2__c-? ._minutes per inch Depth of Test Pit..... . _... Depth to ground water__----------------------
A
a {......... �t tt•----------------•--..
-_
O Description of Soil... 1 0.]a........
is...; - � c M L� ---------------------
x
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 TIT:14': ; of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certin to of Compliance has been issued by the board of health.
Signed. .:�?. ------------�`---fir ------•-•-----------••--- -- -------- I
r c
.. °'
A lication A roved B `` -` .� �~... :~--
Date
Application Disapproved for the following reasons----------------------------•-•------•-------•-•----•--•------•-------------------------------------......------
•-•-•--•-•--•---•-•--•------•-•---...••------•---------------•--••-•---••-...----------•-----•-------------....................---------...............................................................
Date
Permit No......-.�=_77.--------•--. Issued-...... /�4� .......................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........... i ...................0F........ ...........................
(Inrtifiratr of Toutplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (t/) or Repaired ( }
by....%'_ x - .` , ..C-'u
Installer. ............•----------------•---._._.............................._ .....---
------------------------------------------------•-•------------------•----------..
has been installed in accordance with the provisions of TILTIE j of The State Sanitary Cod s described in the
application for Disposal Works Construction Permit No.......�______________. �_.�....._.. dated...._Y �'�:. __----__--_-_---_--------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector....................................................................................
—dDITHE'COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ws-
-^ /.. .........OF......../ ............................... 3 ^No.. ..Z7..... .....
�. FEE.............:�
Disposal Works TkonstrW rrutit
Permission is hereby grante �_..._.......................•...I. .--.......-_-..
to Construct (�{ or Repair ( ) an Individual Sewage Disposal System
�t No.. ' G1. .._.a ........._r:l `_l.C �� ........��. `1. r° f cr ...._..:
street 71-7-5/ Z 7
_.�
as shown on the application for Disposal Works Construction_Permit No`__......__.. Dated-------- .............................
! .......... ...........................--------------------•----------•------•-•-..........--.
Board of Health
DATE--------- rY-- •Sf = ...............................
_FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
362-4541
939 main street rt 6a
yarmouth port
mass 02675 down cope engineering
civil engineers& land surveyors
structural design
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
May 31, 1988
site planning
sewage system Town of Barnstable
designs Board of Health
367 Main Street
Hyannis, MA 02601
inspections
RE: Lot 4 Elliot Road, Centerville
Moulton/Massarsky
permits D.C.E. #87-250
To Whom It May Concern:
On Thursday, May 26, 1988, Down Cape Engineering
inspected the septic system on Lot 4, Elliot Road,
Centerville.
The construction complies with the Massachusetts
Environmental Code Title V, the Town of Barnstable
Health Rules & Regulations, and conforms to Down
Cape Engineering's plan #87-250, dated 8/20/87, last
revision date, 11/10/87. (Please refer to the attached
"as-built" plan.)
Respectfully,
Arne H. Ojala, R.L.S., P.E.
inspected by: Arne H. Ojala
AHO:amg
attachment
cc: Barnstable Conservation Commission
Peter Moulton
TOWN OF BARN STABLE L^
LOCL-110N Z-Dr 3 e .SEWAGE #
VILLAGE 4L 6-OL �/� l �`� ASSESSOR'S MAP & LOT .2-LIS- .3/2
INSTALLER'S NAME & PHONE NO.444,q 3 r 7 7 S- l-3K)
SEPTIC TANK CAPACITY 1,e200
LEACHING FACILITY:(type) L 6,l c N/� i (size) / e,v a 6'•i
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER l/A
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No �--
� 1 � .�"
C� /3
���
'.'
:2a l l FSRI�p•G.t T1 0ZC-o'T,' L
w JoPHalje mc�v�lD 1 xauT
tLt
SECT10N - SEWAGE P__tluol&r SE-Te&r_y_s E"f UX�•�o�j'1�
Z -SEPTIC TANK - ZC - "D"BOX - Cj - LEACH
TOP OF FON
"T"OF+4TO Vi•' T-
'macro
'! WASHED STONE t•: ayx..'h ':a, r ` ` \
34.2 Pa2r�.- 310 � LET
PETEe M. Pe.1611.E ,-Te.
C-F_G(0CI'MUL> 1__17-F
S Z4 ToPtsu>?, M A�-1 4 23-1
IN. p �E 5T �Z9�o 4 M 2-Sr+
OUT• IN- OUT• (N. •. � TLA
i
,CIZ SEPTIC
TANK S2.4 �✓1, i-
ELEV. ELEV. ELEV. ELEV. 0o
i
CD
1 T TE - 1Co ELEV. ELEV. ZS. \ 1
(�' LAP , 16 Dow•► * FtMT Z Ot=PIPE OUT 2 OF l>V••-1w•• V
,�� `�
0UT'I�TTE�'_ 20 4.0 - .R\ .; , .r>_ ', 1Z
WASHED STONE
„ u LAID
((o l.1 P 14 D 0 b tLl� t%3o o TH*1
T' Co0-1 �{<eGE1r'jjl� -` I `L
TEST HOLE LOG 3 -� �- � - 1. 4
TEST BY ,�LXTE2t woet✓1b1.1
A f, =e Z
TEST DATE aO�I.9 WITNESS DESIGN 'BEDROOM HOUSE 4�"74�20^I � e l�' I C1�6(1E+1:j
T.N..• 1 T.H. • 2 ✓� �` ' I �. / y
—� ?{ N
L ELEV. j,� lon+1 ELEV. .(o O K
L Z DISPOSER DI OSER ,
sum ?i3,Co PERC-RATE-- MIN/IN. M � I• FLOW-RATE 110 �GAL/DAY I Pe33a I.
u Z
/
ItEo. Mom. K ( �Q_
5t,I.D. SEPTIC TAN 3�70 t
REO'D SEPTIC TANK SIZE 1000
LEACH FACILITY
SIDE WALL !O't!'(- (.Z.S t 4-1 t.z G/D.
144 Z115 144 23'Co BOTTOM to/Z�ZT = -78.5 ( I.ol • 1a-S GJD. `/ice Zq{ /" ! ' I I MA es4
TOTAL Ze1 .o 5F - S49 7 cQD L.oT 4- / j
USE: ot3 QQEGA5T LEACHING 'PIT LAeey D.. 1.t►GtGUTAS
?t?
"o WATER ENCOUNTERED • \ Zv
NOTES: (UNLESS OTHERWISE NOTED) (� ® ?A2GE1.�14 (Lo-C 1�
rH�l �.s1:1L5 _ At�t.EtJ .i. wulTt J D'AZC.El.3►5
- vD 8E►k tlN 1zM lio FEMa MAPS rr _. AlzL EelDE1...t_
1.DATUM(MSL)*--TAKEN FROM VAIIABLEADRANGL£MAP WRITE
.T.MUNICIPALWATER S _
y.PIPE'PITCH:,%".BER:FOOT
+s1Io3tDo�i 6Y�rr.W Pi:o1:�LE
�L DESIGN LOA01�lG'FOR ALL PRE+CAST,UNITs _ASHo �;y�f LaI{ ter,
S.1NItN.G'ROUNOZOVER ON£tt A�-I=.SEWAtsf-IFACIL"ITIES:;(1) T.
. y�- 'd
PLAN-
PE JOINTS SHALL`1jE SHADE tIYATER 71614T ,� AR(tE rf� S MAP �LQ� _ ,
Ti N`DETAII S TO'�rL AccoROANC£WITH_COMM.DF VASS. r t_ N
T.CONSTRUC O OJALA.
TATE:ENVIflONM£NTAL'CODE;TITLES F. � L —
s J� *JAu _ ora�E mew Deus Lo-r 3 tr��a TzoaD
ak7,r 8_ lip--;;OR 'PROP
Mt1D ►i`•Ieiu
'1 .Se-14. 40 PvL`Ta P USED -tNPotXNOUT SE.PTiG 5`{S'CEM,• R 3S vaneST. S( e[71`1cl I.j R-6 I�GOP-1.IEeSf2�1.1E.
. � CU.tTEe�IttU.E 071o�JZ REF: :
D V11.."CQ P 'elR Illeefl/I 4'�J(°%� 1�3 PREPAREOIFOR: ' 17tVL a-•
. =CIVIL `:ENGINEERS -
aLANDSURVEYORS
0OARO'OF HEALTH -on Iftin L 1 � 4 ULI .�ZD I W
-.---
�l4P_.),I.STAE�.�lt, `Y1�EAl�';YA SCALE CONTOURS tExISTING)----•-•• APPROVED _ _DATE MA DATE
(PROPOSED) —
. _ - - - - - �- ,,...,.•- -
SECTION - SEWAGE
LII —SEPTIC TANK— /0 —"D"BOX— (EACH Ell'
TOP OF FDN
(MSL)s / I
r '2"OF 4eT0 V2" ,
WASHED STONE
J: i
IN• lZ'1 CJ
TF
OUT• IN• L `_'. z !
G OUT• IN•
�s y
ELEV.��� TANK L� A l ZQ.L<.O
SEPTIC
ELEV. ELEV. /
ELEV. y ' -' 1 E VfoeV VIo'1i
N- i
1 ELEV. ELEV. �' = \ \
r
l 2 _ OF76"-14:..
EI�eJ, WASHED STONE ! \ \
I'_L. G•n' � Imo I S �., j,, \'��` �, !
TEST HOLE LOG ?- &zz9 ry
TEST BYAY.'rE� f��r nI: LEt�i �E� <(l.y!•-�� 1 ;�_!%WEB�- Ep_, [j
TEST DATE �[�' 1 S/o WITNESS 3 _. { EI
DESIGN BEDROOM HOUSE / 2 — (7 ° 31
T.H. 1 T.H. 2
—_V ELEV. ZI• ELEV. 1CP 0 NO 54
li A•hA St!(7 4�1 S r Al4 St1L�j '� O. DISPOSER DISPOSER
2-A 2A PERC RATE � —MIN/IN. E� �►�' 14
FLOW RATE //U GAL/DAY) 3 r O �? " ' !' ` ' ;
�'•
/ l czl
SEPTIC TANKli o5E 005 .
Fn1L K4REQ'D SEPTIC TANK SIZE
LEACH FACT LtTY
Tv A-71• r Psf�t<• 10
9)
C A V'7 ri SIDE WALL ( 2 5 ► ---�- G/D. = _ 1 �/ r8'`I lr�
A4.1 C AiC E BOTTOM —�/o •z—r;—_ 5 /,o ) a G/D. ��� \� �c ,/1 <• `\
c �
AI,1 TOTAL 2[DG. 4 5E E/
/
USE: n( 15 (f� LEACHING 1�1 1 �p�D o• \8) ' -., /� 2
LID—WATER ENCOUNTERED
1Ii001?770f�GS
NOTES: (UNLESS OTHERWISE NOTED) I
A5SC' 60V5 ►-/IMP -
/ ``E •ct�N1A2k:Ft✓"13' 6t_. 18•17'
L DATUM(MSL)—TAKEN FRO �rA tS2S�1^Y.{G)___�dliR9R•aetf�tQt�'1N7RP �-'—�� �
2.MUNICIPAL WATER oVA1lABLE ,7 1
3.PIPE PITCH:44"PER FOOT \tp r'r_ ��O�U�� n0LO/1/I r` 1�-I Ill Ot!�\I�I�
4.DESIGN LOADING FOR ALL PRE-CAST UNITS:N'10 foQ SEPTi(-Ti( v- 1 n'GwX 0-20 � t-ALN'FrT '� s 1�
5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. 1 ARNE H. v` - 1'1=oo0z0I;J.0 L -•� `� 5- 7•1_gam
6.PIPE JOINTS SHALL BE MADE WATER TIGHT o � L
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS.
STATE ENVIRONMENTAL CODE TITLE 5 30' SITE PLAN
c814�15 Pll,°,►-I f i? P bf?bs t I �/oQ -o)sV�(f mod r2 t_I� a L15Ep ro[L ' ' `'f.
11�1 E ��� r,;.�t �: ' .�v LOCus: 1�c�11 E I�I�10'I' �( A 17
1 �1'El✓'I l l- �iTAKI IJ C-(.q -,owoLl ICEqP,1C. 1-06u ,f P0VC,,c�40o (srtic 5),9Tct1 6L9PJre�\/1"l A Q I STf6t�
REG. IONAL y
_
N � REF: p•�• Z�� r�� 131
down rape' i en neerin - '
` � � -,ram ._.`�p�ir`�ti � ' PREPARED FOR: -MOLS Ii I )t.I/M A47�IAG�LAY
CIVIL ENGINEERS p
LAN SURVE ORS - \, ,
_... . BOARD OF HEALTH R
(EXISTING).._._ .. y9 6mainSL _ IUD R i� el jQ-j j� ��� �
CONTOURS (PROPOSED)-O-O�-0- APPROVED DATE r2A���Si/1' '� MA ""��YA \ `mob ` \ SCALE2 2-7D+�- — I
r
ATE
5-7-2- so