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HomeMy WebLinkAbout0110 NYES NECK ROAD EAST - Health 110 h[ye's Neck Road East -71 Centerville A 232-`611 001 r. .�7 ECOJECH Environmental 43 Triangle Circle Sandwich, MA 02563 508 364 0894 January 26, 2012 Letter of Clarification Septic system capacity 110 Nye's Neck Road East Centerville, MA To Whom It May Concern, After considerable searching at town offices and querying others involved with the sale of the property at 110 Nye's Neck Road, I was unable to find any documentation indicating the size or type or leaching capacity of the septic system serving the dwelling. Although determining such information is beyond the scope of a Title 5 Real Estate Transfer Inspection, the buyer requested that it be calculated, so on Thursday January 26, 2012 I returned to the property to assess the size and capacity of the septic tank and the soil absorption system. The septic tank has an operational capacity of 1000 gallons. 310 CRM 15.223:1 a states that a tank shall have "a minimum effective liquid capacity of 200% of the design flow". 3 bedrooms x 110 gallons per day per bedroom= 330 gallons per day design flow. 330 gallons per day x 200%=660 ggallon minimum required capacity. The existing 1000 gallon tank is adequate. Ca Zr py handdigging, probing, and referring to the location sketch from the Health Department Ales, I`'was able,'to determine that the soil absorption system consists of several concrete leaching ccharnhers with stone, forming a rectangular leaching gallery 3 8 ft x 12 ft x 1 ft. 310 CMR 15 `jtipulates that the-leaching capacity be calculated on the basis of the bottom and sidewall areas: (38 x 12)+(38+38+12+12) =456+100 = 556 sf x 0.74 =411 gallons per day 411 gallons per day exceeds the 330 gallons per day required for a three bedroom dwelling. Thus the design capacity of the system which was installed at 110 Nye's Neck Road meets the current design requirements of the Massachusetts Sanitary Code for a three bedroom dwelling. Please call me if you have any questions. tH°FMgss9c � ►+oFM4Ss moo`' DAVID yGm moo`' DAVID D. a D. COUGHANOWIR N y Si r ly,No. 1093 COUGHANOWR GIST �O���GE S�10 0Q' NIA 1P F A i David D. Coughanowr, R.S., L.S.E. 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ° 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 page. Cityrrown 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 fortes A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not David D. Coughanowr, R.S. use the return Name of Inspector key. Eco-Tech Environmental 4:1 Company Name 43 Triangle Circle Company Address mn� Sandwich MA 02563 Citylrown 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: a ® Passes ' ❑ Conditionally Passes ❑ Fails :s ❑ Needs Further Evaluation by the Local Approving Authority C ----- l�S January 24, 2012 y Inspector's Signature Date t r The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10.000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. "This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. • � �I I t5ins 11110 Us 5 Ofridal Inspection Form:Subsurface Sewage 0 System•Page 1 or 17 } Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name Information is required for every Centerville MA 02632 January 24, 2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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 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. 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. Septic tank in driveway is not a heavy duty unit. Recommend replacement with H-20 unit or other remediative measure. Refer to comment on page 10. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•11110 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 page. City/town State Zip Code Date of Inspection B. Certification (cont.) 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 l5ins•1 mo Tige 5 Official lnspactlon Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow t5ins•11110 Tale 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 0117 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name Information is required for every Centerville MA 02632 January 24,2012 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone I I 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. csi,s-i vn o Titre 5 Official Inspection Form:subsurface Sewage Dish System•Page 5 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East _ Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information.For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): n/a Number of bedrooms(actual): n/a DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): n/a-no plan l5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is Centerville MA 02632 January 24 2012 required for every , page. Citylrown State Zip Code Date of Inspection D. System Information Description: no documentation indicating design flow was found at the Barnstable Health, Building, or Conservation departments. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage d n/a-well in use g ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: not determined 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-1 VI C Title 5 Official Ins pection Form:Subsurlace Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 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: agent 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): t51ns•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface,Sewage Disposal System Form- Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M.,Bergenheim Owner Owner's Name information is Centerville MA 02632 January 24 2012 required forevery rY page. CityLrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Age unknown- permit.#99-408 for distribution box replacement was issued in 1999. Were sewage odors detected when arriving at.the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2feet Material of construction: ❑ cast.iron 0 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 lines appear structurally sound with no evidence of leakage or backup into dwelling. Ejector pump was observed to operate through several cycles: No anomalies noted. Septic Tank(locate:on site plan): Depth below grade: 2.5 feet Material of construction: concrete 0 metal ❑.fiberglass ❑ polyethylene ❑other(explain) If tank 1 s.metali 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 tank Sludge depth: 15 in 15ins•i mb Title 5 0friclal Inspection Forth:Subsurface Sewage Disposal•Syslem•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is Centerville MA 02632 Janua 24, 2012 required for every rY 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 19 in Scum thickness none 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? location sketch Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Liquid level at outlet invert. Tank and concrete tees appear structurally sound and functioning as intended. No evidence of leakage in or out was observed. Tank is under paved driveway and appears to be an H-10 unit. It is recommended that the tank-be pumped thoroughly and reinspected when empty by a licensed septic maintenance and installation professional. Tank shoud then either be replaced with a heavy duty H-20 unit with risers and cast iron access covers to grade if it is to remain in driveway, or else the driveway, where it passes over the septic tank, should be dismantled and vehicular access restricted using railroad ties or other suitable barrier. 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 15ins•1`1/10 Title-5 Official Inspection Form:Subsurface Sewage.Disposal System-Page 10.of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments. 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January24, 2012 page. CityLrown 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 outletinvert, 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•11/10` Title 5 official Inspection.porm: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 110 Nyes Neck Road East _ Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 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 inverts Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-Box appears structurally sound and functioning as intended. No evidence of leakage in or out was observed. Some solids in sump. No staining above the normal operating level was 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.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11110 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for'Voluntary Assessments w 1`10 Nyes.Neck Road East Property Address Elizabeth M. Bergenheim Owner `Owner's Name information is Centerville MA 02632 January 24, 2012 required for every ry page. City(rown State Zip Code Date of Inspection. D. System Information (cons) Type: ❑ leaching pits number: ❑ leaching charnbers number: leaching galleries number: 1 ❑ 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 gallery appear unsaturated. No evidence of surface ponding,breakout, lush vegetation, or other evidence of hydraulic'failure was observed. An observation hole was dug into the leaching gallery stone and no standing effluent was observed. No effluent contact staining was observed in.the stone or overl ing soils. 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 (Sins 11/10.. Title 5 Official Inspection form:Subsurface'Sewage Disposal sislom-Page 13-of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Y 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 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-11110 Title 5 Official tnspeetion Form:Subsurface Sewage Disposal System-Page 14 of 17 f Commonwealth of Massachusetts IVTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner owners Name information is required for every Centerville MA 02632 January 24,2012 page. CHy/rown 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 l.�iEavatt�,c� L�'IFE 'PARK�,✓6. /� r OP f` �E D Jl ,� Lr/8L L � 'aY pTy6�. lS� � Mms•11110 Tate s 0ffW l ats *W-Form:swmdaw sewage okp"symm•Page 1s er 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not forVoluntary Assessments 11.0 Nyes Neck Road East Property.Address Elizabeth M..Bergenheim Owner Owners Name information is Centerville MA 02632 January24„2012 required for every page. Cityrrown State Zip Code Date of-Inspection D. System Information (cont.) Site Exam: ❑ Check Slope Z Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ 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: pate 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 USG'S database-explain: You must describe how you established the high'ground water elevation-, A survey instrument was used to determine that the bottom of the leaching gallery is over feet above the elevation of Lake Weguaguet-a controlled elevation lake. Before filing this Inspection Report,.please see Report.Completeness Checklist-on next page. 151ns 11/10 Tilley official Inspoction Fonn:.Subsurface Sewage Disposal System•Pape 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 110 Nyes Neck Road East Property Address Elizabeth M. Bergenheim Owner Owner's Name information is required for every Centerville MA 02632 January 24, 2012 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 t5ins-11f10 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 3z No. Fee v r THE COMMONWEALTH OF MASSACHIJSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pplication for �Digpozar *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.I �f r/ �� Ow,n ,s N e,Add s and T 1.No. Assessor's Map/Parcel, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(✓�' Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Boar of lth. Signe `11Date Application Approved by Date Application Disapproved for the following reasb" In el Permit No. Date Issued �No. ,„. ,,�„ �,, �_' � `; �.�.. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes r r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIppliLation for Mizpozaf *p.5tem Cott.5truction 30ermit i Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �eC/� r Own is Ze,Addr s and T 1.No. az Assessor's Map/Pcel � � Q �s G.e,���4/i/1e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ' IWe of Building: Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder(✓1110 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title 'Size of Septic Tank Type of S.A.S. Description of Soil -Nature of Repairs or Alterations(Answer when applicable) /�L�/> j�E'/� 47-Ae D< } Date last inspected: r Agreement:The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued bytliis Board-of H alth. w.}•, Signe Date Application Approved by Date t Application Disapproved for the following reasgr s , Permit No. 21 Date Issued t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, th t the On-sit Sewage Disposal System Constructed( )Repaired (Upgraded( ) Abandoned( )by !21 at )h:' �// (f constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Aj7dated Installer Designer- fill, The issuance of this pel, I not e- onstrued as a guarantee that the syst wt -function as d sigUe�dr Date / Inspector_- � . a / � J� ———————————————————————————— r Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS ig ogaY *psstem on!5truction permit Permission is hereby granted to Construct( ),,Repair( pgrade( )Abandon( ) System located at 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:Constru ti st be completed within three years of the date of tM6,�p( t.Date: Approved by �� /r�� Z�c ;1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: mo Owner. /,�,x X ,6"ZxzT G. /vf,L�i2G.�� •%� Dace of Inspection: V1�2 SIMTCH OF SEWAGE DISPOSAL SYSTEM: ianladW ties to at vast two permanent references landmarks or benchmarks bate an walls within 100, ciEav�/�z��T L_�kE g33 / A oa� ay�� � TREE /V \ T DEPTH TO tiROLJPIDWATER DW to 'paundwater ntmdofdmmnaemia a vo1 r�appm=i etm ticn: " S7o9Z-,! . ,G( Gr/ S ' T GE�/i9 Ow Ti/F SAS /�/i9S '09 -- . 7 (revised 11/03/95): 9 J f n,A,��.r�� a -3a - oil -eoi �_._� F��..:I .®..... -' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF................. ..... ... .............................--- -4 1110 . ppliration fox :11-411mai Vorkfi Tonfitrurtion Prruit Application is hereby made for a Permit to Construct for Repair ( } an Individual Sewage Disposal System at: 1 V YES NC"� /Z-V A-b �i - Locatio -Address or Lot No. -•--------------•------------!-�._� 9.-- ..------••----•---------•-•---.....--•--....-- O Address w r ................................................................................................. Installer Address Type of Building Size Lot... feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) `4 f� Other—Type of Building + g WO�b--�-�-= No. of persons-------Z..--------------- Showers ( { ) — Cafeteria ( ) Q' Other fixtures --------------- --------------- W Design Flow----------------- ----------_--__-_-..gallons per person per day. Total daily flow..........csX-d..___.__......................gallons. ;4 Septic Tank-LLiquid capacity/OV..gallons Length................. Width................ Diameter-------.-------- Depth..-.--._-_-...-- xDisposal Trench—No- -------------------- Width-------------------- Total Length-------------------- Total leaching area. V .------sq. ft. Seepage Pit No..................... Diameter.................... Depth belo inlet.................... Total leaching area...--.--_--_-___-_sq. ft. Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of Test Pit................._-- Depth to ground water-.-..--_.-----.--------. Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water............-_---_---. ....� 9 - - - *-----------�� ---- - - - - - - - ------ ------ ----- ------- -- -- Description of Soil r /_...._ ._ ` - ••e- ... - t2? ;d - -- t. r r r --------------------- ---------------------- x = ------------------ ------------------------- U Nature of Repairs or Alterations—Answer when applica"ble...............---------------------- -- -.-.-_------------------------------------------- ---------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ` the provisions of Article ZI of the State Sanitary Cod The undersig further agrees-not to place the system in operation until a Certificate of Compliance has be n ss d by t ar of — ------ Date Application Approved BY: el �F1 `oL/ _ 1 ..-.?3 d- _�7'-. Date Application Disapproved for the following reasons:................ = ---------------------------------------------------------------------------------•--•---••---••... Date Permit No......................................................... Issued..... ` -----17`•-.71077 Date x O . No......................... Fes$... 'THE COMMONWEALTH OF' MASSACHUSETTS ►^� BOARD 'OF HEALTH r : A#P iration -for-M_gvviittf ,arks Tonfitrurtion Vrruiit Application is hereby, made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: e-:s t le ekWlt" ritc -'- . 3S- Lot N o. L catio •Ad ess .............................................. Ow r Address rye, Installer Address U Type of Building ', Size Lot...1_R�_�'i,IL_J'.Sq. feet Dwelling No. of Bedrooms'__..__I------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building p Z.e_--------------- Showers ( / ) — Cafeteria ( ) a YP g fW17�b---� >�.._. No. of er�on�.:..._. dOther fixtures -------`------------------ ------------------•----------------------------------------------- W Design Flo _ _............� ___________•-_-__.-gallons per person'per day. Total daily flow---------- " •-•..•_____-.-.___-.gallons. WSeptic Tank Liquid capacity/JM.gallons Length................ Width................ Diameter---------:.----- Depth................ x Disposal Trench—No..................... Width.................... Total Length-------------------- Total leaching area..{ -------sq. ft. Seepage Pit No..................... Diameter.................... Depth belo inlet_ ._._.___.___..... Total leaching:rea---_-._.-----_____sq. it. Z Other Distribution box ( ) Dosing tank ( ) 4" �� /;L A;--• 7A ' Percolation Test Results Performed by--_-------------------------- Date.-•-------...--••-•-------•---------- - Ht' Test Pit No. 1-______•_•__---minutes per inch Depth of Test Pit.................... Depth to ground water....-.-------------..._. L ; Test Pit No. 2................minutes per inch Depth of-Test Pit............:....... Depth to ground water--.-.----__---___--. O Description of Soil 0r-- ` --------•--•-- ----- ---40 A �------ V ... . r x - ..................... U Nature of Repairs or Aiterations-Answer when applicable------------------------------------------------------------------------------------------------ b. - --------------------------------------------------------•---•------•----•--•---------------------------.......---------....... Agreement: The undersigned'°agrees to install the 'aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Co The undersig further agree not to place the.system'in operation until a.Certificate of Compliance hasebeenssss-�L& y ✓ ar o iDateApplication APProved BY- = '= --------------------------- f.�.'��--4'�-7'••. Date ' PPlication Disapproved for.the following reasons: --•-------------------------•-----------=•------.----------•-•--••-......••-•=•- ----•---- �. ........................................................ = -------------------------------------`•------------------------------------------------------"----------- Permit_No.---..................... r.... —Issued........ . Date THE_:'COMMONWEALTH OF MASSACHUSETTS BOARD OF-H ALTH 4 a:..., Tatifirkr of Taiztphattre �, 1HL"S,_TOCERTIF ,That t�&ividual Sewage Disposal System constructed ( ) or Repaired ( ) by -- =_ = -' ' er -.._____________ _ ---_---__-__--•--•-_---___- at_- �.. : , ' P •.- - •- -- •------ . ------/d !-�` � ---------•--------- �• WOO • l "wallas been installed m accordance with the provisions of Arti�e�XXI f The State Sanitary Code a f�'escribed in the No.--- application for Disposal_Wor;rs Construction'.Permit No.___. ----------------r.:.;_-__-___. dated-._ a��....._ ��rt~' �_____. �.; THE ISSUANCE OF THIS CERTIFICATE,,SHALL NOT BE CONSTRUED AS;# GUARANTEE THAT THE SYSTEM .VIL FUNCTI N SATISFACTORY � DATE_ = Inspector-r- ---- ,. THE COMMONWEALTH OF,MASSACHUSETTS BOARD HEALTF : ..,.....OF....:.r. A........... ` N.......................... _.._---- .� FEZ...--�............. y Permission,is hereby granted------=�--- --�--- --- ------------------• ......................................................................... to Const (A oo'r Repay ) an di dal Se e D osal 'S em at No. .•-• r ' 7.. ............................. as shown on the application for`-Disposal.Works Construction' mit Dated ... ................ _ - .............----- __.._ ��r a o rd of H60ty. ..� 7 (ice __ .. • /� DATE ---------------•--- 1 <► FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS- w_ _ pop 4A • - BAXTE R NYE pqr POLE #2/45 x r �-_ ENGINEERING & D.E.P. File #SE 3-4995 I ESTATE OF O T� SURVEYING _ Ko , ; M -, FREDERICK J. SCHOBEL „ � o !fi! Y� CONSERVATION NOTES: 46 2 45 J PPI PA TE WA �' Registered Professional Engineers 1. NO WORK IS TO BE DONE UNTIL FORMS Ado B ALONG WITH REQUIRED ' / x 44.4 x 42.3 ,' PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. /D I IRON PIPE WF Al-11 and Land Surveyors '♦' = 4 S 87'4410 E CB/� FND 31.8 ,2 7 2. LIMIT OF WORK SHALL CONSIST OF HAYBALES AND SILT FENCING - o / s7 59. 78 North Street - 3rd Floor �1 z TO BE MAINTAINED IN GOOD REPAIR UNTIL COMPLETION OF PROJECT. / Hyannis, Massachusetts 02601 S 8�8 25` E 1 a n. .�. Ad.y 3. A COPY OF THE AS-BUILT FOUNDATION PLAN SHALL BE DELIVERED TO THE � ' m / x 41 WF Al-10 • 6 rVWr - COMMISSION. 45.6 45.3 �7.0 t Phone - (508) 771 7502 7- CONSERVATIONo s 1 r _ ,,� e• �► .'' _ Fax (508) 771-7622 4. ALL ROOF LEADERS SHALL DISCHARGE TO DRY WELLS OR DRIP TRENCHES. ,yam j x "'� '°', www.baxter-nye.com 5. PROPOSED MITIGATION PLANTING - NATIVE SHRUBS, 3 GALLON POT, 3' ON CENTER. ' /'�'Al 9'�3 A. / , •,� / PRIVATE_MIE�L r .' 0 S t. WETLANDS PUGGED x S-'y f1tlF INt= 34.5 JANUARY 20. 2012 L.oC�iS dap Scale 1 STAMP S T A M P BY LORI MocDONALD, M.S., P.W.S. �H OF k i r r I I WF Al .7 Mgss� c , 35 FOR BAXTER NYE Nt ENGINEERING do SURVEYING TEPH N 4.8 f GENERAL NOTES •. WF.A-6 o y 1.) THE INTENT OF THIS PUN IS TO SHOW PROPOSED ADDITIONS AT LOCUS NQ 30216 / ' � >rrr r+ .,E �/ 1, !,,. i! I..v• .: .,. '•e ! 1 ',1.♦+p !i i II /1 r 1 ! iA, 1 ! 4 /y 1 did +., ,:y y ,i +`.n 1 r .�' %ra! 'I 'rf i ! ,* i6 i ;.r H!9 .::! �.. y �.. i / y , , q; " 2.) LOCUS AREA IS COMPRISED Of 42.2 / LOT 1 S/ONAL EN �i o� 43.9 •i i i t �' m A90R'S MAP 232 PARCEL 011/001 / / / ' , i MAID 23� / r, AL `° DEED BOOK 26M PAGE 250 n, �,�/ O �/ ;PARCEL 011/O0i . PUN BOOK 405 PAGE 66 zI � ° // ��� 1.dAC�2E i f i a CONSULTANT r'' a s II I It i 2 i ANF7A1-5 g OWNER: 58 L�POND NtEDfS RIVE � � L, !1 V E FMARWRCH. MA 02645 Y 40.1 o / \ 3.) PROJECT BENCfIAIARlG AS SNDWTN ON TENS PLAN MAY ' 1 2012 4218 Z / g 4.) ZONING INFDRMA1fON / 39. / 4�2.5 r ' I i ' r a CONSULTANT \ t r ZONING DISTRICT ; RD-1 (Reddenbd)JIL BARNS?ABIE CONSERVATION i CURRENT IMNNINIM ZONING REOUREMENTS: r°✓• V I I f t { 4 x 35.2 MM. LOT AREA = 87. 20 IF.35.2 . 41.0 \��_ I' I i t t WF Al-4 MIN. LOT FRONTAGE = 20 40. 41.0 I 'I ; cr MIN. LOT WIM = 125 o 141 'I I t '+< F FRONT YARD = 30' SIDE & REAR YARD = 10' / 10' PREPARED FOR x 3 4 ` SHRUBS I `L I I t' '' 'lllc 0 41.E I 1 I •I -� 1 I I t �` ; i OVERIAY DISTRICTS: RPOO, GP AND MI SALTWATER ESTUARIES x 9.6 \ fr r I� t ,t to x 3 6 `I� x ®40.3 r , I 42�8 ; �` k ' �+ 5.) A TIRE SEARCH NAS NOT BEEN PERFORMED FOR 1FIS SITE F DEMUC Christian Swenson 37.3 x7.8 / . I t ` t 91 ANT111ATION wF M-3 TO BE NECESSARr. A TIRE SEAM SILL t PERT OTHERS. 58 Long Pond Drive k �\38.7Q \�t /©x 40.2 r, 10 �. t ARM:A S� 6.) TIE PROPERTY LIE IFORINTION SNONN 6 NO ON CURRENT A AL48LE RB�ORD 'L• k / ,'' ; I 42.8 �' INFORWTMON OONSLSTING OF PUNS NO DEIDS. Ham, MA., 02 • � ti x 3�.6 k FRUIT THE tl x 39.7 © EXLS`IIIG FECILIIES SIMONN HEREON HERE OBTMED FROM A PREYIOIRS SURVEY E , 11 ` I RAISED x' 3 . :��`•\ `� t4 PERFORMED 9AXTER & NYE ING (SITE PLAN DM SEPT. 8, 1996-REY. APFtN. 28, 1999) ( ) 5D 8.8 /BEDStt` a AND AN UPDATED SURVEY PERFORMED ON MAY 20 & 24. 2012 BY B M NYE WF A1-2 ONGIEERING &36.6 SURVEYIIG • 911c I II Q39�5 r24". o 41 0 `� �� �C 7.) COMMUNITY PANEL. MJAIBEJ� 250001 ODDS C r --- +` �y y' THE FLOOD NNSt>1 OM RATE WP DEFIES THIS AREA AS ZONE C. A NON-INTJIRD AREA ' r 4POND I mx�8.8 REAR,SE' BENCHMARK AT TOP CB/bH FND iw N I I Q I I r 6 `� �� ` `� �� 8.) ENVIRONMENTAL NFDM7K*. EL 36. I r t \ t i I r 3 -- 4` - �� WF Al 1 4 •SUE IS NOT WITW AN A.0 EC. (AREA OF CRITICAL ETNVIROMMENTAL CONCERN). azt/ SEE BAXTER do NYE. INC. n m I x g,7 c _P ` � � I I �� t : PROP'OSED • SITE 6 W M AN AREA OF ESTTMAIED WAE�ITAT OF RARE PLOW PER PLAN FOR ROBOT C. EIERGENH M I I REVISED: APRIL 28, 1999 \ / �? II .37.9 �C �� 1 LAIT OF NCRl! MIESP INP =OBER 1. 2010 'ESTNMIED.W TAIS Of rM �' I 44.5 �� �� `� FOR USE WITH THE MR WETLANDS PROIEC'I:ON ACr REGIIIIITOiS 1310 C tvj 1 I �O. db :,6.6 I, 'I � 1 44.6 i . \ 17.2 �2 , ! 7 \ 7 \ \ ,I IAL •SITE DOES NOT CONTAIN A CERTIFIED VERNIL POOL PER NHESP IMP OCMBER 1. 2010 �� wetland I '� Y 1. �x 44.7 0 32.p �`g0"I "CERIEED VERNAL POOIS r `45.1 •T14 , k • •SITE IS WITIN A PRIORITY WIBIDIT PER NIIESP MAP OCT O�R 1. 2010 IPRIORUY O \ 36.6 37.0 l WW8ITATS OF RARE SPECIE' FOR SPICES UM R THE IKSSADOSEUS RAISED GARDEN � D-BO r 16'x3�2' �`� �• �� \`� ��\ � 23 - PH 1 DIDANGERED BEDS I `r 44. T STORAGE i ` �� � �� 1 PROPANE TAM( In� SPECtS ACE. REGU11110NS (321 CMR10) 368. P PANE RELOCATED PER Lt1UTY S�PTI�OTAN \?.0• \ `I T SI�LOCATEDONS •SITE B W M A STATE APPROVED 2ONE N GROUND NMTER RECI IRGE PROTECTION AREA. o �- OF i r I \�� AN• N \ r r /`� FLAGGED •�5 WI A 2OW OF CONiROM TD A SAIIJ M1ER E'STUW(MMISTABIE &O.R ` AL AREA / � � \ i 'i r' d` i' ) WETLANDS FLAGGED I i r 5.D� r c� AUG. 31, 1998 AUG. 31, 1998 t r r 12, Ji BY D.M. BALL `•Z'"' BY D.M. BALL ,' p�ti FOR ENSR 9•) UTN flY INFORMATION SFMOWN FEREIN N +ct FOR ENSR 1 J/ 45.6 CA. / CE C 20'x32' GARAGETW CONTRACTOR SNAIL AND UTNJ1Y COMPANI S TO LOCAIE W 2 �' A P / STORAGE LOFT ABOVE •ALL EXISTING UW7M AT(FAST WJRS PPRIOR_ STD OF CWTRW710K THE LOCATION OF � 04 C3 • i 45.5 � 'w U T (4, KNEE WALL) EXISTING LWOERGRO M IFRASIRUCM UMgIESS► CMIITS AND LINES ARE SHOWN IN AN APPRO)W7E W -8 0 sr V It NMY ONLY. MAY NOT BE LMYIED TO TIM SHOWN II REIN AND WIVE BEEN RESEARM BASED ON THE J p I r I ' AW L40LE UMITY RECORDS NOTED MIEM THE CONTRICIOR AGREES TO BE FULLY RE 901SNF FOR ANY AND ALL NINES IWIM VDIT BE OOGISI O BY TIE CONTIMORS FMURE 10 LOCATE SAID C6 I tl I I 18" oa 0. 3 #110 CON►RAICTOR �.(..,' NOTIFY 1FE1}E EIVGIEQi 1■.r Y P06S�E REDESIGN INC :. , rliyf ' RX% :i'n. 17 1: ;N f) i!' ,Ir .;1�I: 1 ;Ir i j ':y.•.7 I li ..I {^ !! '1 JU h' i k:r ., :7 • MU •"� � �*�� 'i � ' I I ; 4s.7 45.6 COTrA c PROPOSED 14'x10' t m CE 4i BROGE COMM mm v • EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM SEPTIC SYSTEM REPORT BY w I tl 39 95_ (OPEN AIR BELOW) BETOIATTI OONSIRIICTION (REPLACED D-BOX). ON FILE WIN THE BARNSTABLE B.O.H. - 0 �''" I a / � LOCATION APPROXIMATE. PERMIT NO 99-408 ISSUED 7/9/99 BY BARNSTABLE WARD OF NEMJH. � / 0. Ru • oa{�, • PER A�ORIS RECORDS AND LOCATED INK Off AT LOCK IS HE)IIED BY f PROPANE Ex►S1ING pl `A� ART_Ol • U1111Y POLES. PRIMARY & SECONDARY SERVICE SHOWN ON TM PLAN PER KII AMP DATED <• ti 26 JANtIARY 25, 2012 z >� B MASONRY STAIRS 4 O so. • INFORMATION RECEIVED FROM VERIZOII I D CARES THERE ARE NO RECORDS SNOWING CONDUIT z N I AT LOCUS AREA (VIA EMAIL CORRESPONDENCE DATED ^VARY 24. 2012). g �� ,' • TOWN WATER IS NOT AVAL48LE AT THS SITE: PROPERTY SERVICED BY PRNATE WELL a k • , o 00 CO • NATIONAL GRID: NO GAS FACILITIES N THIS AREA (01-19-2012), w � � o I.. . T . . N� N M K A. HOOKER, of UX. o SEE EASEMthr-ovER LOCUS AT < m DEED BOOK 22982 PAGE 231 i o z \ SHEET TITLE 42 Wetlands Permit Plan - �---� Proposed Addition 70 SHEET NO D A T E : 02 08 2012 / 20 0 20 40 1 POLE #2/47 SCALE IN FEET A / SCALE : 10= 20' DRAWN/DESIGN BY: MTM CHECKED BY: SAW JOB NO: 2012-004 C A D D FILE: 2012-OD4WPP.dwg r 1 I x o o 4 19.1 U1 00 1 � O � � Ib•3 ° ►3'i5 zoo. L 20.j3,5, p l l . i l r 2/•9 <J< G I 0 J ` , 19 �R � O 7er i Z� o8•a- ��N VErN G' �'f�ills� E' l� �2'� �1•� i i O ` iF 3 r,e/e u 7-/O,V R_ o x i JI, 1 I 1 1 o r (0 /V / T U 0 !,,A✓R,L S ,E--C T / A/ / "= 20' F p 1 i 7- Y o A- Gr L)6)A/1%,'F, W H rN G'Y 3 F T-r ,Q c!•!/T�c rs E ZN G//N r 4`; ? WHiTNEY: )t e3 .=-•;G. z t (Lr 'erwvlt__