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0343 STRAWBERRY HILL ROAD - Health
343 STRAWBERRY'HILL ROAD 'S Centerville A= 248 -040 SMEAD KEEPING YOU ORGANIZED No. 12M 2.15"R � aro�eFarco per® VJI�MUBA GETORt3NMATSt<IEAD.UOY c TOWN O1F'BARNSTABLE LOCATION343 JZQ (Jt13EPA�J Nlu. kO SEWAGE# ;1020 - l S-A VILLAGE _ QJr6&V JLL[ - ASSESSOR'S MAP&PARCEL Aq INSTALLER'S NAME&PHONE NO. Rpm T3 Q UR 56R SEPTIC TANK CAPACITY `TCI�JS' LEACHING FACILITY:(type)C�)�pp G L'tk �S (size) i�.� tZC 2-$ , NO.OF BEDROOMS OWNER F&be 0%,C. L r,. a►)A4_ Hcwn4rmaAssoc, PERMIT DATE: .G-j 1-2010 COMPLIANCE DATE: '1- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility lla Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within A300 feet of leaching facility) Feet FURNISHED BY 0Q6F;Z O&L O LA t3K - A t Q :z � 5 A • 3_XI—I A -4: WX A- �_ c' 3 A — c to a < J 2P 40 1 13�3= 4m O _ �LJ No.. ® �� ��� Fee 1610 THE COMMONWEALTH OF MASSACHUSETTS Entered incomputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �Digont 6p.5temc Con.5tructfon Vermit Application for a Permit to Construct( ) Repair( ) Upgrade�X Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 343 S IC40041 `f &RC, wner's Name,Address,and Tel.No. RD 1=EV-0*r't. V,19=rC-V(QG Assessor's Map/Parcel at Q &I {00 ( Installer's Name,Address,and Tel.No. $0 ?� �, Designer's Name,Address and Tel.No. 40 a Sri 7 p��' �► OvQ..cio aTG C-tjECCN&-04 &)& YOJC . Type of Building: Dwelling No.of Bedrooms 3 Lot Size )iZ350} sq.ft. Garbage Grinder ( ) Other Type of Building RFStM Tii4t- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 31 d gpd Design flow provided 349.q gpd Plan Date (e-10'aO,-AZ) Number of sheets Revision Date Title 341-3 4. AEA&V t4ac, knb CAEA� l LLA97 Size of Septic Tank ISO Q ft4(J,L1lf,)S Type of S.A.S. SCO Description of Soil A4&M C L0604 Nature of Repairs or Alterations(Answer when applicable) m.)=w, wtsej ciok, semi, , AA60g ,T'a!F_* a cm 18r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar Health. Signed Date i6l.rlt Application Approved by Date (o Application Disapproved by: Date for the following reasons Permit No. ;-0 2.0 — Date Issued No. 0 ;0- ' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS Yes ZIPpYication for Migpo!5al *p5tem Couaruction Permit Application for a Permit to Construct O Repair O Upgrade(�)" Abandon O Complete System ❑Individual Components Location Address or Lot No. 3 57 r Q.,rA t4)Q�t/ !-1(C` � - Owner's Name,Address,and Tel.No. tJ l,. Assessor's Map/Parcel �• G � C �S.Q G Installer's Name,Address,and Tel.No. 50'is<417 a 4FS277 Designer's Name,Address and Tel.No. S'u Fs - X?3 -d!,1 1 y " P.0C,vc[R r IN 0 a 0 C- .T c- L ry�:[[J L 6,9 fJC-,�- =N C . ae,3 4.0 iz'cS 047" 45 , Type of Building: Dwelling No.of Bedrooms Lot Size I rU - sq.ft. Garbage Grinder Other Type of Building qC-S i P63JTI d4L. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 1 a gpd Design flow provided gpd Plan Date (o`I V - 30.-'a[7 Number of sheets Revision Date Title W/LL_ Size of Septic Tank I 'Sp p C-.k LpNJS Type of S.A.S. 2, "rG�O �; !_.E-F/r►G�?� Description of Soil 0-t En - C uAR_5 G _,►4 nJ o ��� 5,Gram' P L, 4"j t Nature of Repairs or Alterations(Answer when applicable) JU62A) 14-10 t 'Yon {14�(, 5C!F f'(C_ f l l N lC t o G 6P_S t G.•.1[ ra4 PL�.r a�F U&JbL tiIram Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 40- ApplicatioonApproved by r �. 6la.�"° l�C X Date (0 - 0 Application'Disapproved by: Date for the following reasons f Permit No. a'o� Date Issued ---------------------------------------- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( J Repaired ( ) Upgraded O Abandoned( )by go Sz-r l L�t.)[2 Otna at T C! t- fUJ6*as been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ago ' I�� dated Installer R0PA=Z2T- N a uo- C'_c� Designer [_ C-) cJ&w =wG #bedrooms .3 Approved design flow 3?Q gpd The issuance of this pe%it shall not be construed as a guarantee that the system wrlle unct*-4 as designeg. Date /!/ !) Inspecto 14 A No. ®do - 2 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS e i� o�aY �pgtent Cou5truction Permit Permission is hereby granted to Construct ( ) Repair ( ) . Upgrade ( �) Abandon ( ) System located at �� � � � ILL ll) 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: Construction must be completed within three years of the date of this permit. o 9 Date `{ " a d Approved by � r / I Town of Barnstable Regulatory Services Richard V. Scali,Interim Director asxtvsrest.�:, 9� MAS& Public Health Division '°�Fo ►+" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: '7�1 10 Sewage Permit# U20 1&;. Assessor's Map\Parcel Designer: SG &O,,)tlneerin' , -_y1c. Installer: Robert B. Our Co.,_Me— (R60) Address: Z$Sy Cronbe.rry �i5 uWa Address: 363 WhJes pcJh Eas4 ware,,�Aovn � 62-538 SOu-k YGm"X, PIA On to a 13S RGo was issued a permit to install a (date) (installer) septic system at 343 4rcaw'00_CE ., 011 Rocj based on a design drawn by (add ess) —SC Cn,Sioee.cin TtnG. dated X"e In, Z020 . (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i iance with the terms of the I\A approval letters (if applicable) sN of argSSgoyG �� dOHN L CMURCHILL Jlt n (Installer's ure) CML .4 (D ner's SignaturVARNSTABLE (Affix De t p Here) I PL SE RETURN TO PUBLIC HEALTH D SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc 1 Town of Barnstable Inspectional Services Department ""STAB MASS. Public Health Division 059. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0770 February 18, 2020 FEDERAL NATIONAL MORTGAGE ASSOCIATION MIDTOWN CENTER 1100 15TH ST NW WASHINGTON, DC 20005 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 343 Strawberry Hill Road, Centerville, MA was inspected on 01/31/2020 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Root bound cesspool, partly under the garage. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER;an, OFLTBOARD OF HEALTH o Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letteis\343 Strawberry Hill Road Centerville.doc fy Town of Barnstable Barnstable Regulatory Services Department A edcae j IIARNSTAOLL v 1639. ,� Public Health Division m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4988 0299 May 7, 2018 STRATTON, BARBARA E 343 STRAWBERRY HILL RD CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 343 Strawberry Hill Road, Centerville, MA was inspected on 03/19/2018 by Chad Hathaway, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Block cesspool is partially under garage and must be replaced with a new septic tank. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T E BOARD OF HEALTH omas c e R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\343 Strawberry Hill Road Centerville.doc Town of Barnstable, M aaxrisraeLE A b 9. ,�� Regulatory Services Department rE0 MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER S Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberrry Hill Rd M h Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 page. Citylrown 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 51 # /,a q on the computer, use only the tab 1. Inspector: key to move your cursor-do not Chad Hathaway use the return Name of Inspector key. H.P.S. Company Name P.O.Box 151 Company Address Forestdale Ma 02644 City/Town State Zip Code 774-274-2581 12866 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 16.000).The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/19/18 Inspector's Sign ure Date The system inspector shall s Pcom py of this inspection report to the Approving Authority(Board of Health or DEP)within 30 a pleting this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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): Block cesspool is partly under garage t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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 M a 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's.Name information is required for every Centerville Ma 02632 3/19/18 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 1/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19118 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- 10,000g pd. ❑ ® 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 �M s 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owners Name information is required for every Centerville Ma 02632 3/19/18 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ❑ ® Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M ,a 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 page. CityrFown State Zip Code Date of Inspection D. System Information Description: Block Cesspool located partly under garage cesspool level is 1"over bottom of invert pipe . 6'x6' precast pit was added to cesspool in 1990. cesspool has 30" of seperation from current water level to invert pipe. Number of current residents: 1 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 years usage (gpd)): Detail: 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 'y 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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: 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•3/13 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 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 . 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: cesspool 1966 precast pit 1990 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.5' feet Material of construction: ❑ cast iron ®40 PVC other(explain): pvc and orangeburg ® Distance from private water supply well or suction line. 20+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins-3113 Title 5 Official Inspection Forth: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 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): no tank 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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 g 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•3113 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 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 page. Cityrrown 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 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 Dbox 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: leaching pit 6'x6' precast with 2 feet of stone has 30" of reserve from bottom of invert pipe to water level t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 �. Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is Centerville Ma 02632 3/19/18 required for every , 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: 1 ❑ 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.): Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 cesspool and overflow pit Depth—top of liquid to inlet invert 1" over bottom of invert Depth of solids layer 10" Depth of scum layer 3" Dimensions of cesspool 6'x6' Materials of construction block 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 ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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 lr' 5�� l� .� t5ins•3113 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 s ' 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 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: 45' 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: 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: town gis mapping lot el. 50' You must describe how you established the high ground water elevation: lot el. 50' low el. in area 5' 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 f_ Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberrry Hill Rd Property Address Barbara Stratton Owner Owner's Name information is required for every Centerville Ma 02632 3/19/18 page. CityrTown 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 �oF 1MF roy, Town of Barnstable WIRNWASLE, MASS Inspectional Services Department plfp may. Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTUER Repair deadline: Q:ISEPTICIDEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts Title 5 Official Inspection . Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name / information is Centerville ✓ MA 02632 1-31-20 required for every - -- ----- 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. okHI IIqn� OF Important:out forms A. Inspector Information 51.tr 114 37-D filling out forms on the computer, JAM ES u'' use only the tab James D.Sears =ep key to move your Name of Inspector =_ :� cursor-do not use the return Robert B. Our Co. INC - - -- - ���:•C"-;�-r-i���.-'�^�� key. Company Name 363 Whites Path ''o'F 5 INS PEG��`\' rrru ay Company Address III I I IIt1�� South Yarmouth MA 02664 Cityrrown State Zip Code 508-477-8877 _ S1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); I have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails -- _ 2-1-20 pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. Lt5lrl.p •rev.7/2612018 Title 5 Official Inspection Form:Subsurface sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae _ Owner Owner's Name information is required for every Centerville MA _02632 1-31-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: Failed -system-main pool partIl under garage. The system is a old block and pit.. 2) 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y<� .� 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is Centerville MA 02632 1-31-20 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No IV ❑ ❑ 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 'h day flow ❑ ® 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 water supply 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 2000 gpd- 10,000 gpd. ® ❑ 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Fig Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wV•may 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health C ❑ ® 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 IRMO=manholes uncovered, opened, and the interiorMMZM inspected for the condition of the MIME=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)] t5insp.doo•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. 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 Description: Old Block C. Pool and Pit. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): 2018-19,000Gals Detail: 2019-6,000 Gal's Sump pump? ❑ Yes ® No � Last date of occupancy: NA Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: 2017 Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 300 gallons How was quantity pumped determined? Gage on pump truck Reason for pumping: Part of inspection t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 cam. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae _ Owner Owner's Name information is Centerville MA 02632 1-31-20 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: Pool NA-Pit- 1990 premit # 90-498. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): � Depth below grade: 2'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.): Pipeing is 4" orange bur a and PVC -SCH 40. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Fora �- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is Centerville MA 02632 1-31-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No Box 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road " Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 10. 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. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 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: l5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville _ MA 02632 1-31-20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a 1000 Gal. Precast Pit w/2' stone. Pit at 2' below grade. Pit is dry. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert 4 Depth of solids layer 611 Depth of scum layer 0 11 Dimensions of cesspool 6 8" Deep Materials of construction Old Block Indication of groundwater inflow ❑ Yes ® No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Old Block C.Pool. Party under garage. Pool is root bound. Cover at 13" below grade. No inlet tee- outlet tee. _ t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form �~ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is Centerville MA 02632 1-31-20 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title '5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is Centerville required for every MA 02632 1-31-20 page. City/town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 �WI�IIIA'f�V' POO�- I 0) Iq CE 0 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .V 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is Centerville MA 02632 1-31-20 required for every State Zip Code Date of Inspection page. CitylTown D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells N° Estimated depth to(high ground water: 12 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: 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: Auger T.H.12' no G.K. Bottom of pit at 8' below grade. Bottom of pit at 4' above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.712612016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts rP Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 343 Strawberry Hill Road Property Address Fannie Mae Owner Owner's Name information is required for every Centerville MA 02632 1-31-20 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included r 8` t5insp.doe•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 1/16/2020 ShowAsbuilt(1700x2800) TOWN OF BARNSTABLE LOCATION .57r c,Jo - - SEWAGE VILLAGE G-eArTek vi ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE.NO. Ct4OF Lc¢u-�P(->CTC SEPTIC TANK CAPACITY LEACHING FACILITY.-(type) PQ-G-6t4ST k0r-r (size)-6WAW.V-- NO.OF BEDROOMS Z�TPRIVATE WELL O UBLIC WA BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED, 'I VARIANCE GRANTED: Yes /' No sw;mro,� Qm�- p� EKti>T„ G csS�' 4aeaye I NtvJ (¢rb P�TkJIaI�MII https://itsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=248040&sq=1 1/1 TOWN OF BARNSTABLE LOCATION STr SEWAGE # qo—q VILLAGE C--9AT—k&yvil ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE::NO. C..4 Pl SEPTIC TANK CAPACITYi � LEACHING FACILITY:(type) Q���Gi1CS�oQ`R' (size)- III NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WAT BUILDER OR OWNER A,& (? -t J®9jc DATE PERMIT ISSUED: , DATE COMPLIANCE ISSUED: whs-4D VARIANCE GRANTED: Yes No l - pen)- l �W,ell E��yTi� c�p� �9`we r N{-v� (d e6 P rT l�J�a,.SibN� No--- L/..� F4! J!' THE COMMONWEALTH OF MASSACHUSETTS oho BOAR® OF HEALTH TOWN OF BARNSTABLE ApplirFa#uaat for Disposal Warki Ta ustratrtion rrrutft Application is hereby made for a Permit to Construct ( ) or Repair ( �an Individual Sewage Disposal System at: Location-Address or Lot No. ----------.�._.__!41. .......IAJ.Q. 4 N prFiF : " w C�iA......---•------------------------•--...... Owner ress .. . P ...... b- I U.............. Installer Address Type of Building Size Lot____________________ _____Sq. feet .-t Dwelling—No. of Bedrooms-----3...................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Buildin yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures --------------- -------------------------------------------------------------------------------------•------------------•------------•--•------------ W Design Flow........ .............................gallons per person per day. Total daily flow------ 2_Q.........................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-.....-.-----.-- Depth................ x Disposal Trench—No- -------------------- Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No------/-------------- Diameter.....`vl........ Depth below inlet...j6z(__-_-__-- Total leaching area—...............sq. ft. Z Other Distribution box ( ) . Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit..................-- Depth to ground water------------------------- 04 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water............-........... P4 ---------------------------------------------------------------------------------------------------------------------•--•---------------------------------- 0 Description of Soil...............................................................................--------------------------------------------------------------------------------------- x U --------------------------•------------------------------------------------•---------------------------------------------------------------------------------------------------------------------------- w x .....................-- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable___-1�' -------.1�e-_--- _ ---.�D✓ mac F'lSr cr 1 -'S '1�?-C..------� �-----"e `S�a. -----c'� �1 �' ------- ------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu boa of health. Signed ---- -- ;'4. C ----1 �` 9=0------- Date ApplicationApproved By --------- --- - - r �------------------------------------------------------------ = to Application Disapproved for the following reasons- ------ ----------------------------------------------------------------------------- --------_--_------------------ ---------------- ------------:---------------------------- ..........---------------.----- ------ ------------------------------------- ---- --- --------------------------- .................------................ �`r Date Permit No. ------ - -�-- � --- ----........................ Issued ------------------------ �� Date No....6-1-14 FBs........3 ..- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH " ' { TOWN OF BARNSTABLE Appliration for Disposal Works Cnnnstrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( L-)�an Individual Sewage Disposal System at: C r Location-Address or Lot No. ......................IA._ .. 1•.}•)�2.! 4_ -Q ......................... ...........••.. ............................................ Owner " Ad ress aLw--APE �ww�U some ..-�--------------------------------- �`G= a w------`. ....I.....__1�..!_I.►.!k:( �f---------- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.____.:3......................._..........Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons____________________________ Showers W YP g ---------------------------- P ( ) — Cafeteria ( ) P I Other fixtures --------•---------------------------•-••• •- w Design Flow.......` "__________________________gallons per person per day. Total daily flow______3_3 n.............:..........gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—No_ ____________________ Width....................Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./------------ Diameter.._._ G?'___.___ Depth below inlet....kKf......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2.............___minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---•------•••------------------------------•--•--•--------------•-•-•---•-------•------------•------......................................................... 0 Description of Soil........................................................................................................................................................................ x U .............................................................---•••-•-•--•----------=--------••---•---....-•------•-•-•--•----•--•---•---------•...--••-••-----•----•-•-•-•-•--•---•------•••-•--•••--- w U Nature of Repairs or Alterations—Answer when applicable_.___ 1' ._______ L`-e.____.___ ��?._.. -✓ �C1.ST•01 i J_�_�•1-! S la��rX'_- ��,/_'% )c C_cZ•y.J C c S-c- ,t—.... f •---- ------------------- o Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-by-the board of health. � ] Signed ..�V•1 ... _' ................. .. .' �/ ✓ e' ( ./. Date 1... �C:..... Application Approved By ............../10�'.... 4 ------------------------------------------------------------ 11 ,--..ija"ce.................. Application Disapproved for the followinreasons: .........----"---.... ------- ---------------------------'---'--...........................--------------....----....----.....------------............................................................................... ................................... Dam Permit No. .......`'/ '"1..FI—)=-................. � -�.. ` Issued --'--- ((' . �C� - - ' te THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer'#ifira tr of (gontylian e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ..... ............... ...--- ----..............--"---- ----- ---------------------------------------.......---'--------...'------......................... Installer ` at ........... ..............................3.`{..�.... -.....-S� f c.w�Yry ---..�\>.\1.... '' ... ........... ....._...................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ---------- dateld�....,//--. .---4�.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ;T;IL DATE.....1.�I--I1' -' 1.4h---------------------------------'-----....----...------------------. Inspector ......... .. ...----------...................-------'------....-----........................ �. 01 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �10TOWN OF BARNSTABLE No.... .� FEE •l_- Disposal Works Tons#rur#ilan "Vlernti# Permission is hereby granted-------------------. ...... \<-•-•---•--••---•-•-•--..........------....._....-•----...-- to Construct ( ) or Repair ( .)-n•--Individual Sewage Disposal System at No.................. - --•--- . .�.�..: .Q ry l- [ 11 ._. ..._..-•-----••--•------••-------•--......---•.................... �.................._:•......................Street .. as shown on the application for Disposal Works Construction Permit No._g�'419 Dated.....d 5?.-_9a............... DATE--- -------•--------••-•----------••----•--•------••--••- L/ `Boar$"tof Health t FORM 36508 HOBBS&WARREN,INC..PUBLISHERS r USPS TRA►CKMG# ..: :::: First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 5357 9189 1905 93 I United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service -- --- ---------- Town of Barnstable Health Division 200 Main Street Hyannis,MA 02601 I I-III 1111i1.111�,'1;I1l1'1�1'l'11,111 Jill 11,1111 SENDER:'COMPLETE tWSSECTION • • ON DELIVERY �` A. Signature :6CG f■ ete items_,1,2,and 3..:.... ,•Print your name and address on the reverse X /�� ®�. ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. Lo —)address different from Rem17 ❑Yes ter delivery address below: ❑No FEDERAL NATIONAL MORTGAGE ASSOCIATION ' MIDTOWN CENTER 1100 15TH ST NW WASHINGTON, DC 20005 3`S6rvice Type ❑Priority Mail Express® II I�I�III IIII I'I I IIIIIII�IIII'I(� I I II"II I�II ❑Adult Signature ❑Registered Mail R ❑ duk Signature Restricted Delivery ❑Registered Mail Restricted ertified Maile Delivery Certified Mall Restricted Delivery etum Receipt for 9590 9402 5357 9189 1905 93 erchandiseF ❑Collect on Delivery ❑Collect on Delivery Restricted Delivery Signature Confirmation?^'' ,n.r�clo_Nr.imher(Transfer from service label) • . _p_Insure -Mail ❑Signature Confirmation' 7 b 15 ``17 3 0 0 0'1'`4 9 8 8 7 7 I Restricted Delivery Restricted'Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Certified Mail service provides the following benefits: 1k A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailplece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the I ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the T a You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Male service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent, with Certified Mail service.However,the purchase (not available at retail). " of Certified Mail service does nqt change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,R should bear a certain Priority Mail items. USPS postmaric If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcwded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return ` 11 Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. I Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 l ) .o o . C3 ! .CERTIFIED N Domestic oFor delivery information,visit our website at www.usps.como. � Certified Mail Fee Er Extra Services&Fees(check box,add tee as appp riele) ❑Return Receipt(hardcopy) $ O ❑Retum Receipt(electronic) $ -- Postm r3 ❑Certified Mail Restricted Delivery $ / � Here Q ❑Adult signature Required $ flAdult Sianature Restricted Delivery$ O Z [ W (mom FEDERAL NATIONANORTGAGEASSOClATION Ln MIDTOWN CENTER 1100 15TH STW"�' o WASHING TON;,DC 20005, 7530-q2-000-9047 -See Reverse or iristructi.ris I! USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Pe mi No.G-10 9590 9402 1933 6123 1777 77 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service Town of Barnstable ' Health Division 200 Main Street Hyannis,MA 02601 , t SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, 8. Received by(Printed Name) C. Date of Delivery or on the front if space permits. D. Is delivery address different from item,11 ❑Yes - If YES,enter delivery address below: ❑No � STRATTON, BARBARA E 343 STRAWBERRY HILL RD CENTERVILLE, MA 02632 3. Service Type 0 Priority Mail Exprcss(R) II IIIIII III III I II II( III IIII I IIIIIII III III 10 Adult 3 Adult Signature Restricted Restricted Delivery ❑Reg 11 9g stared Maid Restricted rtified Mail® elivery 9590 9402 1933 6123 1777 77 Certified Mail Restricted Delivery 0ietum Receipt for ❑Collect on Delivery Merchandise 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ❑Signature gn ature Confirmation ;o�ll Restricted Delivery, Restricted Delivery 7 015 1730 I10 01 4 9 8 8 0299 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt it I . • 'RECEIPT o- Q. .. Only, n.j 0 y information;visit our' t Certified Mail Fee $S � $ Extra Services&Fees(check box,add tee as appropriate) "ti ©may ❑Return Receipt(hardtop» $ '� ❑Return Receipt(electronic) $ �a�p�gtma<k Q ❑Certified Mail Restricted Delivery $ Oreh!/,! C3 ❑Adult Signature Required $ il- ❑Adult Signature Restricted Delivery$ i mm Postage — - VSPS. _ t rr-j Total Postage and 1 $ STRATTON, BARBARA ELn I Sent To 343 STRAWBERRY HILL RD S[ieetandApENo., CENTERVILLE, MA 02632 in tY :oil i rr rrr•r. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this, delivery. USPS®-postmarked Certified Mail receipt to they •A record of deliveryg p retail associate. (including the recipients i,^ signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. ' -. Important Reminders: Adult signature service,which requires the ,p ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which •Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified z ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on.- r ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for F_ the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply I— You can request a hardoopy return receipt or an appropriate postage,and deposit the mailpiece.- electronic version.For a hardcopy.retum receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your matlpiece; IMPORTANT.Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 T.O.F. EL.= 49.7'± FINISH GRADE OVER D-BOX= 48.9''F FINISH GRADE OVER CHAMBERS = 4$,5' - 48.9' G E N E R A I n!OT PROVIDE EXTENSION RISER SLOPE 2% MIN. OVER SYSTEM WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER @ 3/4"TO 1-1/2" DOUBLE WASHED 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6" OF FINISHED GRADE STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL fFINISHED GRADE OUTLET TO WITHIN 6 OF F.G. 49 Q,+ 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. @ FOUNDATION = 49.5'± _ 5" DIA. OUTLET(S) MIN SLOPE 1 /o BOX TO F.G. (SEE NOTE 21) 2'OF 1/8 TO 1/2 DOUBLE WASHED 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 24"MIN.ACCESS -- -_- STONE OR GEOTEXTILE FILTER FABRIC " MIN. } � DESIGN ENGINEER. 9 COVER(3 TYP.) 36"9" MAX. I , PLACE RISERS ON ALL TOP OF SAS = 46.33 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP. SCH. 40 9" MIN. CHAMBERS WITH PVC SEWER PROP. SCH. 40 , 9 MIN. 36 MAX. 4rj,rjQ 36' MAX. INLET PIPES TO 6" OF SYSTEM UNLESS OTHERWISE NOTED. PVC SEWER BREAKOUT EL = 46.00 FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN MIN.SLOPE 1% 6" 3" 2° DROP MIN. @ - 3" DROP MAX. 3" 9„ L=6't ELEVATION =46.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A MIN.SLOPE @ 1% PROVIDE WATERTIGHT o 040 MIL 13" JOINTS (TYP.) o �`b� THE LINER S NOT LESSESS THAN THE LBREAKOUT ELEVATION. T FROM S.A.S. AND THE TOP OF � 4 PVC IN FROM ___ *46.9'- 14" 46.25' SEPTIC TANK 4" PVC OUT TO = = = 0 0 0 o 0 00 O o 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. © LEACHING FACILITY o0 00 0 oo o o 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 46.50' INLET TEE 48 OUTLET TEE 45.90' MIN. 6 45.73' 2 �G 0 0 0 0 0 0 00 0 0 0 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK TEES TO BE CENTERED o 0 0 0 00 CR FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS GAS BAFFLE 6' CRUSHED STONE NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.1' OFFSET TO FND DIRECTLY UNDER RISERS OVER MECHANICALLY o AND DESIGN ENGINEER. COMPACTED BASE i 4.0' _I 4.0' 8.5' (TYP) 4.0' 4.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 50.00, 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX I NP) ESTABLISHED ON CORNER OF CONCRETE PAD AS SHOWN ON PLAN. � OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 25.0' ( COMPACTED BASE C C C C C BASE. FIRST TWO FEET OF OUTLET I , GROUND WATER ELEV.= < 37.50' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 43.50 12.83' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 5' MIN. 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 10'-6" WIDTH 5'-8" DEPTH 5'-$" � CROSS SECTION VIEW 2 - 500 GALLON CHAMBERS ll-1l1iVltiCK ti�iiu VltUii TO THE DESIGN ENGINEER. *CON I RAU t OR 1 U VERIFY EXIS I ING (Dimensions per TYPICAL CHAMBER PROFILE ELEVATION PRIOR TO ANY WORK & S E P-i i�., TANK PROFILE ACME/Shorey) D I�..r I IJ� ,I jt ETAI L H-10 C HAM F R DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING BEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SWING-TIES V �� • • A,e -`: APPROPRIATE AUTHORITY. •F • ... " • ,' "` �( ' • PERC NO. TPT-20-108 DESCRIPTION HC-1 HC-2 ~-- ,. a, • • . • got ; 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED ---- INSPECTOR: Donald Desmarais (BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR y • • h ` TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. SEPTIC COVER IN (1) 16.2' 36.T • • . , • , • II • . EVALUATOR: Michael Pimentel, EIT, CSE ` II • SEPTIC COVER OUT(2) 23.6' 40.4' r • .� ` •II•� •• . . • /, C.S.E. APPROVAL DATE: Oct. 27, 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. PROPOSED TWO (2) • • ' , u • ' •` . ` COPP 500-GALLON LEACHING E• ` ` ` •` ' . : DATE- June 8, 2020 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE CORNER OF STONE (3) 26.9' 51.T (40'WIDE- ER LANE CHAMBERS ` ' •" i TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. CORNER OF STONE (4) 39.7' 59.1' Q PUBLIC LAYOUT) f to Q REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ca PROPOSED ii , ELEV TOP= 48.50' I • ZONE I I 1 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CORNER OF STONE 5 45.4' 43.3' _ DISTRIBUTION BOX �� �O "` `•' • • : • • • ELEV WATER = 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN -- _ EDGEPAVEMENT(TYP) PROPOSED 1,500 • l , •k , •;. •, 4 -x • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. CORNER OF STONE (6) 34.8' 32.4' GAS __ _ 1 • PERC RATE _ < 2 min./inch C S �_ -" �---- _ GALLON SEPTIC TANK � � {� ,�^�,.. • ' _ + a r C3- • 4 •. • �• 16. PROPOSED PROJECT IS LOCATED WITHIN: GUYWIRE DEPTH OF PERC = 36"-54" u-' `f " • Q ASSESSOR'S MAP 248 LOT 40 W TEXTURAL CLASS: I - - / OWNER OF RECORD: FEDERAL NATIONAL MORTGAGE ASSOCIATION EXISTING LEACHING I 48_ -�/ _ _ ! - - 1 _ . I , " - ADDRESS- MIEDTOWN CENTER 1100 15th STREET PIT TO BE PUMPED, 1 `� r„ LOCUS `,.''- 1 1 �/ ,•" 011 48.50' NW, WASHINGTON D.C. 20005 n • A Loamy Sand FILLED w/ SAND & = 102.05'+ w _ _ :yam,, �; �• �; : • . ) • •. • ABANDONED- ,� 13 N83°45 a \\ - , • � ,;�• � � 8., 10Yr 3/1 47 83' FEMA FLOOD ZONE X - / 00'W \�4 ,� ',. •� :• " • ; •�s • �� : �;•. • COMMUNITY PANEL# 25001C0564J / LP 17"/13" TP 2 8. ? • • •• ` j B Loamy Sand 17. DEED REFERENCE: BOOK 32011, PAGE 70 / 1 ` "• 10Yr 5/6 r 1 1 \ :' , ' 18. PLAN REFERENCES: 1.) PLAN BOOK 637, PAGE 47 2.) PLAN BOOK 160, PAGE 89 / 00 TP1 - t - - \ `\ I �s''' • . u fir " • EXISTING CESSPOOL / s� .Q \ 1 \ _ 48x5 � 9 � 1,,� . • I• �� J � ' �� .. 36" 45.50' TO BE PUMPED, / 4) / �� °� \ . : • r� " '`• ; 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. FILLED w/SAND & / 48x5 o .p \ • '�t ; ., ABANDONED / 12.8' Al9 TREES �� r' \ / ,� '� / �." • i i . *,, 44.00' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 3) i / I .; . ��- .- - • p . . FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 1�1.1' _�. y� / I ` �ryi _, ' • +4 , ,r• ; FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. _ j X X FENCE o\ I '` •• •.•• r�J \ • •'y (�, 37• `�'�• 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A co Cl X x C-1 \ �• •II• `*� �S • "' ` DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A CID , / •. .• ` , `; see Med. to Coarse Sand REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ,• �• / :• C o o / / a -- - - - •h 2.5Y 6/6 22 o I EXISTING o WAIK // • . OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL a co / GARAGE N `( - REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. ' LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 15.401 - 15.404, THE FOLLOWING LOCAL UPGRADE / Benchmark --'"' 2) Concrete Corner J / I APPROVAL IS REQUESTED FROM CMR 310 CMR 15.211: a \/ 10.1� PATIO (1) / 12'6 Elev. = 50.00' ' / SCALE: 1" = 1000' 4.) A 1.6' WAIVER (20.0' - 18.4') FOR THE SETBACK FROM SAS TO THE HOUSE FOUNDATION. 1 o Approx. MSL ) 132" 37.50' I 1 No Mottling, Standing or Weeping Observed LEGEND 00 INV.=46.y± \ - (5) TEST PIT DATA � ,8 4, DESIGN DATA I (6) #343 ' PERC NO. TPT-20-108 50x0 EXISTING SPOT GRADE / B.H. / NUMBER OF BEDROOMS EXISTING 3 INSPECTOR: Donald Desmarais BOH X PROPOSED INSPECTION PORT --j / / EXISTING 4g (EXISTING) ( ) 50 - - - EXISTING CONTOUR I / 3-BEDROOM - I NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, EIT, CSE l o \�9, DWELLING / � PROPOSED CONTOUR MAP 248 I k CV �/ DESIGN FLOW 110 GAL/DAY/BEDROOM C.S.E. APPROVAL DATE: Oct. 27, 1999 LOT 39 rj _ _ _ _ _ \ ' j TOTAL DESIGN FLOW 330 GAUDAY DATE: June 8, 2020 50 PROPOSED SPOT GRADE C� i = CAS - EXISTING UNDERGROUND GAS TOF-49.T± DESIGN FLOW x 200 660 GAUDAY TEST PIT#: 2 x1 i APRON ELEV TOP = 48.50' 0 H W EXISTING OVER HEAD WIRES = O USE PROPOSED 1,500 GALLON SEPTIC TANK N1 , � J J ELEV WATER = < 37.50' W W-- EXISTING WATER LINE / ) HC-2 i ^ = U PERC RATE _ L J IN-GROUND POOL / , / a TEST PIT LOCATION k 1 DEPTH OF PERC = mu INSTALL 2 - 500 GAL. CHAMBERS w/ AGGREGATE TEXTURAL CLASS: l O O O PROPOSED 1,500 GALLON SEPTIC TANK < \ \ i/ I / // W�---'^' --� / I � 3 SIDEWALL CAPACITY - �/ / PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE i (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY 0" 48.50' (25.0' + 12.83') ( 2 ) (2' ) ( 0.74 GPD/S.F.) =112.0 GAL/DAY A Loamy Sand 0 PROPOSED DISTRIBUTION BOX / 10Yr 3/1 \ BOTTOM CAPACITY \ // / 8 47.83' p PROPOSED 500 GALLON LEACHING CHAMBER i I _48 Loam Sand (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY B y MAP 248 / (25.0' x 12.83) (0.74 GPD/S.F.) = 237.4 GAL/DAY 10Yr 5/6 LOT 40 / 36" 45.50' 12,350± S.F. I X k TOTALS- REV. DATE BY APP'D. DESCRIPTION X-X X-- - - - _ TOTAL NUMBER OF CHAMBERS 2 PROPOSED SEPTIC SYSTEM UPGRADE X X X X X X X-X-X X X- - X X / / f TOTAL LEACHING AREA 472.2 SQ.FT. X X-X- - -X X-X X FENCE k X X X X X) J TOTAL LEACHING CAPACITY 349.4 GAL./DAY PREPARED FOR: i �S83°45'00"E Med. to Coarse Sand ROBERT B. OUR CO., LLC NOTES: 127.511± /� C 2.5Y 6/6 i I LOCATED AT 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF WEST VIEW LANE 343 STRAWBERRY HILL ROAD EACH SEPTIC SYSTEM COMPONENT. - 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE CENTERVILLE, MA PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT SCALE: 1 INCH = 10 FT. DATE: JUNE 10, 2020 DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF 132" 37.50' HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. No Mottling, Standing or Weeping Observed ��tN °F �S �s o 5 �0 20 ao FEET JOHN L. PREPARED BY: 3.) PROPERTY IS LOCATED WITHIN THE WELLHEAD PROTECTION OVERLAY RESERVED FOR BOARD OF HEALTH USE CHURCHILL R. DISTRICT AND THE ESTUARINE WATERSHEDS. CIVIL N JC ENGINEERING, INC. NO. 41807 2854 CRANBERRY HIGHWAY 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESYEAST WAREHAM, MA 02538 FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS r IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL SITE PLAN j 508.273.0377 _ NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. SCALE: 1"= 10' Drawn By: MCP Designed By:MCP i Checked By: JLC JOB No.5160