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HomeMy WebLinkAbout0086 ARROWHEAD DRIVE - Health 86 Arrowhead Dr. Hyannis =871-100 u • _ �, o r ,. ° , � n ° ... ° �„° ° _ � ,f . � � v `. of Ij tk a e a nu • • ° .e° , s n ° � ° , - ° ra . � ., .. .. , . ah a V. .°, u- Y � � a � � GQv. o a n ;o , d • ° y, ( ' ` ," N° , , ' ° .a ° •� M. 1 ° 'P � �E', i�u ° - ° �. L, O , " 'O H ° O� _ a °c • + ° JI fy t TOWN 05BARNSTABLE � � a� _ LOCATION SEW # VII,C GE lS ASSESSOR'S MAP,B� L�T `(S) INSTALLER'S NAME& ONE NO. i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size)' i NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: i _ Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet .Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by —ate &U i once V °°� � ,'� � o -c • a �I�a. o � c r , TOWN OF BARN LE LOCATION Q SEWAGE# VILLAGE SESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. y SEPTIC TANK CAPACITY I 60 LEACHING FACILITY:(type)Cth-Cl r1rt ,Cam" :(size) 2,S:`X 12,9 NO.OF BEDROOMS f'�`�" OWNER I4t Q ' PERMIT DATE: 2 COMPLIANCE DATE: 7-1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �"j Feet y� Private Water Supply Welland Leaching Facility(If any wells exist on _ site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within e► 300 feet of 1 ch fa 'lity' Feet FURNISHED BY m --I> >m.fter,-41 i>- -, ell- 00, I � � I O. r I C� II r0• f No. �" � 1 �•' Fee UD THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes E� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliCation for 3BispoSal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑Complete System Individual Components Location Address or Lot No. g" wner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,?and Tel.No. Designer's Name,Address,and Tel.No. i lv1L '��'' 1 31,3 Type of Building: Dwelling No.of Bedrooms Lot Size 21� _sq.ft. Garbage Grinder( ) Other Type of Building 9EWQV�Z No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.requi d) ZS0 gpd Design flow provided gpd Plan Date Number of sheets Revision ate r. Title _�'av Size of Septic Tank ` Type of S.A.S. Z Description of Soil �1 Nature of Repairs or Alterations(Answer when applicable) 117 Date last inspected: Agreement: The undersigned agrees to ns the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of T. le.5 e Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boaz o ealt Signed Date /Zt Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �11i 1 Date Issued .� No. - I �/5D r �. +Fee THE COMMONWEALTH�OF MASSACHUSETTS Enteredincomputer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS fpplication for Nsposal Opstev�Construtt oit i9erndt ti Application for a Permit to Construct( ) Repair( ) Upgrade(A Abandon( ) ❑Complete System A Individual Components Location Address or Lot No. �, /1 Owner's Name,Address,and Tel.No. d m ` Assessor's Map/Parcel 211 lifirmA + A*te Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. bjunws Ggwvlt 2 ? d ! A lei(- Sa t lei(- F' 411 S1 313 Type of Building: v �t J j Dwelling No.of Bedrooms Lot Size R21b sq.ft. Garbage Grinder( ) Other Type of Building SF q No.of Persons Showers( ) Cafeteria( ) a Other Fixtures � Design Flow(min.requ.ed) 3 9 ! F. t 30 gpd Design flow provided • gpd ~� Plan Date . .rr 2 Number of sheets 12 Revision Date Title 1 Size of Septic Tank Type of S.A.S.12,.� Q( } ( .R. r k,, QhnL/3 Description•of Soil � y ,(1,/ I Alt � , d .r .. a � 4 Nature of Repairs or Alterations(Answer when applicable) f/ A9 R ti Date last inspected: r `. Agreement:' 11W 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 rof the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar of ealth. / r Signed 'CAA Date p r � Application Approved by v Date Application Disapproved by c� Date r r for the following reasons Permit No. Date Issued 1 I _ --- ---- --•------- - ----- ----•- -- -°- - -- - --- - - - -- -- - - - --------------------- - ---- - THE COMMONWEALTH OF MASSACHUSETTS { BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(X ) Abandoned((( )by 0 LA-k __ at X 44 �j j r�w��().A ,a aA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7,60- 20,dated Installer { d�,;S 1 V'K V a Voij I h j. Tq'ht, Designer F-ha 1 KIP h h Q to I A t #bedrooms Approved desidflow 33 O gpd The issuance of this permit shall not be construed as a guarantee that the system illlfitnct i n as d' sigr%1.. Date (f L�1! Inspector ty u� " P - No. Z0� � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(.t') Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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. Date �0 I�i Approved by i Town of Barnstable y�P Regulatory Services Richard V.Scali,'In.terim Director BARNSrATIM MASS. i639• Public Health Division `00 prF°M Thomas McKean,Director 20.0.Main Street,.Hyannis;MA 02601 Office: 508-862A644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Seivae Permit# Assessor's iVIap\Parcel. Z'7 1 1 p 0 Pca,e C N C C.-vte� (- Desisnet: n5 L J � .c 5 i►i(� Installer: Q vr4"'.s G, c C� f� �'% Address: )Z Cr`uss ld f2�d Address: 3 9 19 (2 . ✓ l +ti. Oil w f n 2&Ce,,JOA issued a permit to install a (date) (installer) septic stem at �� A-Y_ �vJ�" �� H.-Y., � y p Y based on a design drawn by (address) 5:�Itcj '✓1 cam. !Na ri 14sot I h( dated �J .7 (designer) 1 certify that the septic system referenced above was installed substantially according to the design; wbich 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.'Rebulations. Plan revision or certified'as-built by designer to follow. Strip out(if required)was inspected and the soils were found.satisfactoy. I certify that the system referenced above was constructed in with the terms of the RA approv I letters (if applicable) 1• '��,M �GSFi PEI Ft - E Her Signa re) cNkL tyo.35109 Designer's Signature) (Affix Design ere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL.BOTH. THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC.-HE,ALTH DIVISION THANK YOU. Q:'.Septic'Designer Certification Form Rev 8-14-13.doc Engineers note:This certification is limited loan as-built inspection of system components as installed prior to backfill.The engineer did not supervise construction of the system.The`insialler assumes responsibility for all materials,workmanship,backfilling to specified grades vrith proper compaction and setting risers/covers as shown on the design plan. ECOJECH IV �E������ Environmental MAR 1 0 2004 www.eco-tech.us TOWN OF BARNSTABLE THIS FORM IS A FACSIMILE OF THE STANDARD SEPTIC INSPECTION FORM ISS_U_EDHBYAT E MA'STSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION(revised 6/15/2000) TITLE 5 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 86 Arrowhead Drive Hyannis Owner's Name: Joao Pimenta MAP -- Owner's Address: 86 Arrowhead Drive PARCEL r5 Hyannis,MA 02601 Date of Inspection: March 3, 2004 LOT Name of Inspector: (Please Print) David D. Coughanowr,R.S. CD Company Name: Eco-Tech Environmental Mailing Address: 43 Triangle Circle -C? Sandwich,MA 02563 Telephone Number: (508)364-0894 C ) r- CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. I am a DEP approved system inspector pursuant to section'15.340 of Title 5(310 CMR 15.000).The system: X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature Date: kcjp6� The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority NOTES AND COMMENTS Inspector's Note—> A septic system is deemed to pass this Real Estate Transfer Inspection if it does not trigger any of the failure criteria listed below. The septic system has been evaluated according to the conditions observed on the day it was inspected. No estimate or guarantee of system longevity is made or implied by a passing determination. ****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. Title 5 Inspection Form 6/15/2000 page 1 J r Page 2 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 INSPECTION SUMMARY: Check A,B,C,D or E/ALWAYS complete all of section D: A] System Passes: Yes I have not found any information which indicates that any of the failure criteria described in 310 CUR 5.303 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. Answer yes,no, or not determined(Y,N,or ND). in the_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. ND explain: Observation of sewage backup or breakout or high static water level in the distribution box is due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced. ND explain The system required pumping more than four 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 obstruction is removed ND explain 2 Page 3 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 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 and 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 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 by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 1 i. 3 f j r • Page 4 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3 2004 D)System Failure Criteria applicable to all systems: You must indicate either"yes" or"no"to each of the following for all inspections: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. yes no X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high groundwater elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well X Any portion of a cesspool or privy is within 50 feet of a private water supply well X 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 by a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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) No (Yes/No)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 You must indicate either"yes" or"no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 - i 1. t 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. ` '` •� ...� - � ` _ F 4 s f3, c 4 S�. r Page 5 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3,2004 Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following: Yes No Y _ Pumping information was provided by the owner,occupant or Board of Health. N Were any of the system components pumped out in the last two weeks? Y _ Has the system received normal flows in the previous two week period? N Have large volumes of water been introduced to the system recently or as part of this inspection? Y _ Were as built plans of the system obtained and examined?(If they were not available as N/A) Y _ Was the facility or dwelling inspected for signs of sewage back-up? Y _ Was the site inspected for signs of breakout? including Y _ Were all system components,exeluding the SAS located on site? Y Were the septic tank manholes uncovered, opened,and the interior of the septic tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Y _ Was the facility owner(and occupants,if different from owner)provided with information on the proper maintenance of subsurface disposal systems? For information on the proper maintenance of subsurface disposal systems please go to: WWW.ECO-TECH.US The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Y _ Existing information. For example,Plan at the Board of Health. Y _ 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(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a—no plan on file at Health Dept. Number of current residents 5 Does the residence have a garbage grinder(yes or no): no Is laundry on a separate sewage system(yes or no): no :(If yes, separate inspection required) Laundry system inspected (yes or no): n/a Seasonal use(yes or no): no Water meter readings,if available(last two year's usage(gpd): 360 god Sump Pump(yes or no): no Last date of occupancy: current C OMMERCIAL/INDUS TRIAL: Type of establishment: Design flow(based on 310 CMR 15.203):: gpd Basis of design flow(seats/persons/sgft/etc.): Grease trap present: (yes or no)_ Industrial waste holding tank present: (yes or no): Non-sanitary waste discharged to the Title 5 system: (yes or no). Water meter readings,if available: Last date of occupancy/use:_ OTHER: (Describe): GENERAL INFORMATION PUMPING RECORDS Source of information: System not pumped in recent past(Owner) Was system pumped as part of the inspection: (yes or no) No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM: X Septic tank,distFibutien bex, soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes, attach previous inspection records, if any) Innovative/Alternate technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe) APPROXIMATE AGE of all components,date installed(if known)and source of information: Age:12+years—an overflow pit was installed on 10/14/91 BOH permit 91-457 Were sewage odors detected when arriving at the site: (yes or no) no 6 Page 7 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 BUILDING SEWER_(Locate on site plan) Depth below grade: 2 ft Material of construction:_cast iron X 40 PVC_other(explain) Distance from private water supply well or suction line 20+ Comments: (on condition of joints,venting, evidence of leakage,etc.) Sewer is vented through roof and appears structurally sound with no evidence of leakage or backup into dwelling SEPTIC TANK:Yes (locate on site plan) I i Depth below grade: 10 inches Material of construction: X concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal,list age_ Is age confirmed by Certificate of Compliance_(yes or no):_(attach a copy of certificate) i Dimensions: 8.5 ft x 5 ft x 5 ft(1000 gallon) Sludge depth: 8 in Distance from top of sludge to bottom of outlet tee or baffle: 26 in Scum thickness: 6 in Distance from top of scum to top of outlet tee or baffle: 7 in Distance from bottom of scum to bottom of outlet tee or baffle: 11 in How dimensions were determined: Probe to top of tank Comments: (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Pumping is recommended at this time and maintenance pumping is recommended every 2 years Liquid level at outlet invert.Tank and tees appear structurally sound and functioning as intended.No evidence of leakage in or out GREASE TRAP: none (locate on site plan) 9 Depth below grade: Material of construction:_concrete_metal_fiberglass_polyethylene other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: i Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: f Comments:'(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 t.- Page 8 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 TIGHT OR HOLDING TANK: none (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/day Alarm present(yes or no):_ Alarm level: _ Alarm in working order(yes or no):_ Date of last pumping: Comments:(condition of inlet tee,condition of alarm and float switches,etc.) E i DISTRIBUTION BOX: none (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: l Comments:(note if box is level and distribution to outlets is equal,any evidence of solids carryover,any evidence of i leakage into or out of box, etc.) t t 1. PUMP CHAMBER: none (locate on site plan) j Pumps in working order: (yes or no) Alarms in working order: (yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 + Page 9 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 SOIL ABSORPTION SYSTEM(SAS): Yes (locate on site plan;excavation not required) If SAS not located,explain why: i Type: X leaching pits,number 2 _leaching chambers,number { _leaching galleries,number } _leaching trenches, number, length _leaching fields,number,dimensions _overflow cesspool, number f —innovative/alternate system Type/name of Technology Comments: (note condition of soil, signs of hydraulic failure,,level of ponding,damp soil,condition of vegetation, etc.) i Soils above leaching nits appeared unsaturated. No evidence of surface ponding breakout, lush vegetation or other evidence of hydraulic failure was observed. Observation hole dug into stone surrounding new leach pit showed no level of standing liquid or effluent contact staining. CESSPOOLS: none (cesspool must be pumped at time of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: j Depth of scum layer: , Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.): PRIVY: none (locate on site plan) t Materials of construction: Dimensions:_ Depth of solids: 1, Comments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 , i • Page 10 of 11 I OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100'(Locate where public water supply enters the building) LEACH LEACH PIT PIT O O LOCATIONS A B C SEPTIC 2 1 37 ft 23 Ft TANK ® 2 38 ft 26.5 Ft 3 35.5 ft 30.5 ft 4 38 ft 71 ft B C EXISTING DWELLING W Z J W 3 I ARROWHEAD DRIVE NOT TO SCALE 10 Page 11 of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 Arrowhead Drive Hyannis Owner: Joao Pimenta Date of Inspection: March 3, 2004 ; SITE EXAM Slope Surface water Check Cellar Shallow wells i Estimated Depth to ground water: 18+ feet 1 Please indicate(check)all methods used to determine high ground water elevation: Obtained from system design plans on record-If checked. date of design plan reviewed Observed Site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of health-explain: _ Checked local excavators, installers-attach documentation) X Accessed USGS database You must describe how you established the high ground water elevation. Barnstable GIS department records indicate that the area of the SAS is 18 feet above groundwater i t i 1 / TOWN OF BARNSTABLE. LOCATION Nt) uJ VIf—'a`rl SEWAGE # { I VILLAGE A'-t Gi,j w ° S ASSESSOR'S MAP & LOT 71 - I00 INSTALLER'S NAME & PHONE NO-� l Lf 17 s s SEPTIC TANK.CAPACITY_ 0. LEACHING FACILITY:(type) (size) 1 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER .. DATE PERMIT ISSUED: j DATE . COMPLIANCE ISSUED: Y & " /q—9 :VARIANCE GRANTED: Yes :-, No I ' NCO LA i f � i j 1. i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL. PROTECTION r , • C •a V ,;1 • V TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM ' PART A CERTIFICATION Property Address: 86 ARROWHEAD DRIVE HYANNIS, MA 02601 Owner's Name: JOHN PINKAVA Owner's Address: 275 WOODSIDE ROAD,W. BARNSTABLE.,MA.02668 Date of Inspection: 7/23/01 Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET, MA.02536 RECEIVED Telephone Number: 508-564-6813.FAX 508-564-7270 AUG07200, CERTIFICATION STATEMENT rowN of I certify that 1 have personally inspected•the sewage disposal system at this address and that the informs fl6d �>f'S`+��E true,accurate and complete as of the time of the inspection.The inspection was performed based on my training an experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section'1040 of Title 5(310 CMR 15.000). The system: X Passes y _ Conditionally Pa es _ Needs Furth aluation by the Local Approving Authority Fails Inspector's Signature: Date: 7/23/01 The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be the buyer, if applicable,and the approving authority. sent to the system owner and copies sent to Notes and Comments SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM USEFUL LIFE. ****'Phis report only describes conditions at the time of inspection and under the conditions of use at that Bute.'I'hls inspection does not address hbw,the system•will perform in the future under the same or different conditions of use. zO r •Title S IncnPrtlnn Fnrm 0;/1 5,01"IN)$' 1 a� . Page 2 of I I x; OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A : CERTIFICATION (continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CM 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. i Comments: SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM USEFUL LIFE. r 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. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a 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. ND explain: n/a n/a 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 obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a 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 _obstruction is removed j ND explain: n/a } .;a Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A `CERTIFICATION(continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS,MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 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 CM 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 .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 I of a public water supply. _ The system has a septic tank and SASIand 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 n/a "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: n/a n Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 86 ARROWHEAWDRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the':following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ X Liquid depth in cesspool js less than 6"below invert or available volume is less than '/z day flow X Required pumping more-than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped n/a. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool"or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ X Any portion of a cesspool or privy.is,within a Zone I of a public well. X Any portion of a cesspool or privy•is within 50 feet of a private water supply well. X 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that°facility 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 forma (Yes/No)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. I 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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)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 lame system has fafled: 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. 4 Page 5 of I I i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 86 ARROWHEAD DRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 Check if the following have been done. You must indicate "yes" or"no"as to each of the following: Yes No ' X _ Pumping information was provided by the owner,occupant,or Board of Health _ X Were any of the system,components pumped out in the previous two weeks X Has the system received normal flows in the previous two week period ave large volumes of water been introduced to the system recently or as part of this inspection '? _ X ere as built plans of the system obtained and examined?(If they were not available note as N/A) (� � X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out'? X _ Were all system components,excluding the SAS, located on site? X _ 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 ? X _ 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: Yes no _ X Existing information. For'example,a plan at the Board of Health. X _ 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(3)(b)]. . .1 i Page 6 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 86 ARROWHEAD DRIVE HYANNIS,MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 FLOW CONDITIONS RESIDENTIAL 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 Number of current residents: 0 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): n/a Sump pump(yes or no): NO Last date of occupancy: 6/25/01 COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CM 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the•Title' 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X 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) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approxim a all coEwhenarriving nst led(if kno n)and source of information: 1970 Were ewage odors detectat e(yes or no): NO I Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS,MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction: cast iron X40 PVC other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,'evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 12" Material of construction: Xconcrete—metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 1000G L 8' 6" H 5' 7" W 4' 10"" Sludge depth: I" Distance from top of sludge to bottom of outlet tee or baffle:33" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): • THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP: _(locate on site plan) Depth below grade: n/a Material of construction:—concrete—metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a i - .i r .. % Page 8 of I I i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 TIGHT or HOLDING TANK: (tank.must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:—concrete_metal' fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and Float switches,etc.): 6J n/a ,✓� DISTRIBUTION BOX: _(if present must be opened)(locate on site plan) - Depth of liquid level above outlet invert: n/a Comments(note if box is level and distribution to outlets equal, any evid of solids carryover, any evidence of leakage into or out of box,etc.): n/a PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a Q _ Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS,MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: 2 n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a °overflow cesspool, number: n/a n/a x 'innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): THE LEACH PITS APPEAR TO BE FUNCTIONING PROPERLY. NEW PIT HAS NEVER HAD MORE THAN 6 INCHES.DID NOT EXPOSE OLDER PIT CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) i. Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a Page 10 of 1 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 86 ARROWHEAD DRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. �cC �C O C ,y 44 • AR 3� � � 3S �P CA • to _ Page 1 I of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE',SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 'SYSTEM INFORMATION(continued) Property Address: 86 ARROWHEAD,DRIVE HYANNIS, MA 02601 Owner: JOHN PINKAVA Date of Inspection: 7/23/01 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 10+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record- If checked,date of design plan reviewed: n/a NO Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local exeavatdrs, installers-(attach documentation) YES Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: USGS MAPS AND CHARTS- 10+FEET 4 �1 TOWN OF BARNSTABLE / U LOCATION / 611 1-4 w �1> C �a i-?,. SEWAGE VILLAGE f4l ar J'W VS ASSESSOR'S MAP & LOT A 71 — 100 jf l (' _ INSTALLER'S NAME & PHONE NO.CafIk�.`► d�c�\etrzj1� , LI 1-7 i SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ' i (size) S NO. OF BEDROOMS • PRIVATE WELL OR,-PUBLIC WATER 3 �. BUILDER OR OWNER'S �1.ct.° eit ��y DATE PERMIT•ISSUED: J ® 1 DATE',COLIPLIANCE ISSUED: ,VARIANCE GRANTED: Yes No Or_ r-4 �a L tas C ASSESSORS MAP NO: 7 i PARCEL N0: ,C� No.... . ..- ... Fps............................. THE COMMONWEALTH OF MASSACHUSETTS n 0 V E D BOAR® OF HEALTH Barr-_ ation co— "n TOWN OF BARNSTABLE for Di iputi al Workli Tonstrnrtion Vantit Signed D__j 0 Application is hereby made for a Permit to Construct ( 1on Repair (k a Individual Sewage Disposal System at: O ...---- --- - .................................. Location-Addr t\ or Lot No. \�J y/�� Ow er, trAddress ,nn Installer Address - Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms....................................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) —Cafeteria ( ) a' Other fixtures ------------------------------- - - d W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity..........._gallons Length................ Width................ Diameter------_......... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... L-14 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ P4 ------------------•-••-•-•-•---------........--------------------••-------------•---.........------.......................................................... 0 Description of Soil...------ `...................................-........................................................................................ W x --••--------•-----------------------------•----•-••----- -------------------------------------••••-----••-•------...---------•----------••------------•-----•---------------••-----••••-••..._......... U Nature of Repairs or Alterations—AnsweCwhen a ,bl _______.. �,,�..� .. 1..._........� )<7 �............ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envi n ental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co plia a has been issued by the board of h lth. Signed ......... �© - Dace Application Approved By ...D9AIM ....V .. .. . ........ ..................................... ................Dace.........-------- Application Disapproved for the following reasons: ....................................................................................................................................... .................................................. 71.......;r .. ..................... ... .. ----D- ate Permit No. ..... . ..... ...........: Issued ... ....../...... ...... Dare . Y a 7�r . NO-9d� !- Fps. .... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ��-1►�- rltr tiun for Uispustt1' urku Tunutrn.rtiun Permit 0 Application is hereby made for a Permit to Construct (�05Repair (�an Individual Sewage Disposal System at: .......... V .................. ......... ...... ..... ................. Location-Addr 1 ` or Lot No. :: .. ^ W ow, er _ ►a r..�. ------_.....�. e_ _�o .�r....� ZS. SS v 't4 ° �dfiss. ......� pne C1 --•- ----_...•-•••-------•-•-----••---•........ Installer � Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-----------Z---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .:.......................... No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................. Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ." Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water......................... x - ---- O Description of Soil...t.....- - W V Nature of Repairs or,Alterations—Answer when a p ' bl _.....____.----.. ,___s3...._ ._ l 1�e_.� .:_ -------------------------------------------� ------------............��' rs.�.... �E........ .... -� ...,...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Envir nmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Co lianee has been issued by the board of he Ith. Signed .......... ........ ........ ...I............. -....:... .......... ......................... g Dace Application Approved By .. ����D .. ------------------- ... ..... ... Dale — Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------- -- ----------- ..............----------------------- Permit No. / /Q r , 9 Dace 1........................... ......------.. Issued ........... f............Date...................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ' Certificate of C antplianre >, T ff IS TO CERTIFY, That the Individual Sewage Disl#osal�,System constructed ( ) or Repaired_(_— \ NIL byr..-1.-. � '���z..,.�. d. `t`.................... ..........----.......................................................................................................... I�sea`lter, at --------------- �-.u...-- - �..` .. ..�''. e i-.. -'....---...----.....1 .a..�..:*.......-----...---....1 has been installed in accordance with the provisions of TITLE qf Tle tat c nmental Code as described in the application for Disposal Works Construction Permit No. .... ............. 7. dated .....-.......-.................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRU. VAS A GUARANTEE©THAT THE ' U SYSTEM WILL FUNCTION SATISFACTORY. � � DATE............... ...... ... ... ..�- ' .......:..L�..� �Y Inspector ... �'�I/L ._. / p ..........��-............------... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE c�0 No. ---•-•-• FLE...� ............ iuvuu Turku �untrnrt' n Permit Permission is hereby granted..............1�.. .�...G.�......... � �...:.....I<� --------------••••-•-•-................ to Construct ( or Repair ( Z)-�ividu Sewage isposal -S stem atNo................ .......... -r `' .................. _------------- = Street / as shown on the application for Disposal Works Construction Per i-tisTo............ ..... Vtd .^..� n _.1..DATE....-•------ ..-..I__Y.-J.I..................•--............ Board of Iie.lth FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS ... 4 �. .' ` :.-yi'•...• ..... tv f f.F.'. :3.` f"' ... jD.'_bY llr::. . . .:: . .: . ... Official Use onl Commonwealth of Massachusetts Department of Fire Services Permit No. BOARD OF 'FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - - (Rev. 11/99] eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEGA,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AU INFORMATION) Date: r-�u�-� ' aq�� City or Town of: Barnstable To the Inspector of Viresr By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) �(o owe ]tic• Map 271 Parcel /D4' Owner or Tenant 3•o A4 O G • P l M F-/U-rA Telephone No.796-43/5- Owner's Address 8l0 �eow/,e�',� .r - Is this permit in conjunction with a building permit? Yes [ No ❑ (Check Appropriate Box)- 73 yZ 9 Purpose of Building Utility Authorization No. Existing Service /00 Amps l/0 / Zzo Volts Overhead® Undgrd❑ No.of Meters / New Service Amps Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _ . - Location and Nature of Proposed Electrical Work: Ad�,uq cl fee&,otzA_k -�►� _ _ _ Com letion o the allow' •bfe be waived b- the Iris ector Of Wires. Total No.of Recessed Fixtures No,of Cell.-Susp.(Paddle)Fans KVA tors A No.of Lighting Outlets No.of Hot Tubs G _... . Above Pool o.. g No. of Lighting Fixtures swimming rnd rnd. erYU. is Q / o:of Zones No.of Rece facie Outlets 'O No.of Oil Burners o.o Detection an No.of Switches o2; No:of Gas Burners Initiating Devices - �/ No.of Air Cond. Tootal ts No.of Alerting Devices No.of Ranges eat ump um er ono o,of Self-Containe No.of Waste Disposers ✓ Totals: Detection/Alerting,ppDevices nidNo..of Dishwashers Space/Area Heating KW' al Local onnection[I Other Heating Appliances KW Security stems: No.of Dryers / No.of Devices or E uivi ent &ter o,o o.of Data Wiring: 0.0 - Beaters KW Signs Ballasts No.of Devices or Equivalent e ecomm icapons Wiring: - No.Hydromassage Bathtubs. �/ No.of Motors Total HP No.of Devices or Rgulyalent Attach additional detail}f desired, or as required by the Inspector of.Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless.... the.licensee.proyides=proof of liabiliry::iiisurance including"completed operation"coverage or its substantial.equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing o ce.— CHECK.ONE: INSURANCE n--BOND [I OTHER [I (Specify:) (gxpiration Date} Estimated Value of Electrical Work: (When required by municipal policy:) Work to Start: a -/0'0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I ceno,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1,51eu �u2A �' z� . LIC.NO.:�y015/ License(: � �%-y.yUR � " ,d signature.. LIC.NO.:�yQ �SF (If applicable etrter"exempt"in the license number line.) Bus.TeL No.; P`yP9-7669 Address: P 0 6�' �esr s�26f 4 • �� Alt.TeL.No.; 9 7211/13-79 z- pyyR'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 11 owner's agent. i Tit4� 3 g �3ec� I S S S 2 7929 r pie/ tJ'° S p a R iD va r t t. � G V � ku ^Y u VQ n � : 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma J Parcel ` ©� Permit# Health Division S - Z 3 03 :5 Date Issued -� Q Conservation Division J f l 3 Application Fee/, Tax Collector Joe Permit Fee �/.D O Treasurer SEPTIC SYSTEM MUST BE WiSTALLE®IN COMPLIAN'C,0 Planning Dept. VM TITLE 5 Date Definitive PlanApproved by Planning Board ENVIRONMENTAL CODE Attic TOIVN REQUUT IONS Historic-OKH Preservation/Hyannis Project Street Address V/ #Xa-O iV A/Z. 1vH3 M 47 026,W Village Owner J� Gt>/� ►� A Address Telephone 6go2f) _ g.0 '951S Permit Request r'r/vi:S,q /W t!/1,,03leao"3_ LL Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District, Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes i No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure g�,' 0 Historic House: ❑Yes gNo On Old King's Highway: ❑Yes, NNo Basement Type: #Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 0.2 new / �3( Ha :existing new Number of Bedrooms: existing 03 new 01 NO M 0 re 3 4CrrK allow pe✓ 410.1k4L, Total Room Count(not including baths): existing new 3 First Floor Room Count e2 Heat Type and Fuel: N Gas ❑Oil Cl Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing • New Existing wood/coaf stove: ❑.Yes XNo Detached garagdOxisting ❑new size Pool:❑existing ❑new size Barn:❑existing IYAew 'size Attached garage:existing ❑new size Shed:❑existing ❑new size Other: 'ate' E CIO S Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -, Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use / BUILDER INFORMATION I Name telephorie Numberl5 Dy)- -yl s— -- ';.Address 7� ieP.®Mi/� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /DATE - 98 -- EXISTING CONTOUR Q'I u 0Li Q ; Ut{,�a. . x 100.98 EXISTING SPOT GRADE services $ yy EXISTING WATER SVC. c 0ted1j" e�ou�h� Arch Consvuaton C ! I D 147,PG 73 G EXISTING GAS SVC. �; ° ' O '8 PL - .H.*L - OVERHEAD WIRES , 0 11 _,.©� Q p� �\SeaMeadorw� � ' r ' 1 TEST PIT 1/' C1 n f'p 0 r� G'• ���\ PROPOSED S.A.S. BENCHMARK �I l \�\✓� ;fq,i I _.r-"'r`NoY� RC,�c�'_`1 2-500 GAL CHAMBERS r` Cj p O/_.. -�, \� „ SURROUNDED W/4' STONE LEGEND (� - ! Q"�''a S 12°02 10 W p . FENCE 0; I D c7t]J n t-1 �. 1 99,65 + 77.50 _ x , / 86ARownesdDr, :�I LOT 10 TP-1 TP-2 95.60 C' r G 1.THgannis MAo26o1. o,s/� ono. ��� V. t S.F. � F---25 � . 98.40 97. OD a G 0 x Nt. . O O I II p8nn \Go a l- u �l M! /^vWoH6nypd- 9.66 LOCUS MAP I \1 x 97.06 BENCHMARK CORNER OF STOOP EXISTING LEACH PITS• � EL.=98.52 TO BE PUMPED, FILLED 101,01 + , 97.17 x GENERAL NOTES: W/SAND & ABANDONED 98X 3 r7 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL c BOARD OF HEALTH AND THE DESIGN ENGINEER. EXISTING SEPTIC TANK 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS w p 8�3 (TO REMAIN) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE x DECK x 1 TOP OF TANK, EL.=9750f LOCAL RULES AND REGULATIONS. p INV.(OUT)=96.15t 04 103.E BM 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 98.5.2 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE CELLAR FL EL.=98.7t _ ? DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN N EX/STING ENGINEER BEFORE CONSTRUCTION CONTINUES. 105.21 4- GARAGE HOUSE(#86) n 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. T.O.F.=106.Of Z 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF FF EL.=107.Of THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF x HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 105.81 102.65 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. zc.zc..' 105.88 LJ 104.96 x 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 106.16 10 .79 104.22 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE I DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY x 105.6 J j,; _ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 05.2 Aj Q` I, OF A! CONSTRUCTION. ` � Ass9� 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS ' W D6. 2 LAMP10 PETER T. IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 0 � REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 77.50' ' ��� � McENTEE 1 CIVIL "' 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 6� 1 36' No. 35109 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 2 PARKING , 99 71 / try 105.75 104.8E 103.98 101,49 100,46PK SET / � PARCEL ID: 271 -100 7(-Zl PROPOSED SEPTIC SYSTEM UPGRADE PLAN ARROWHEAD DRIVE 86 ARROWHEAD ROAD, HYANNIS, MA Prepared for: Quinn's Excavating, 39 Bog River Bend, Mashpee, MA 02649 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. FELIZ, GUILLERMO A & VIANELI Engineering Works, Inc. 1"=20' P.T.M. 167-21 86 ARROWHEAD ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. HYANNIS, MA 02601 (508) 477-5313 5/7/21 P.T.M. 1 Of 2 1 1 ' NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=94.0 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D—BOX OF THE PROPOSED S.A.S. EXISTING GARAGE INSTALL RISER & COVER PROPOSED S.A.S. HOUSE(#86) s CELLAR FLOOR EL.=98.7t SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F=106.0f SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.7f F.G. EL.=98.Ot F.G. EL.=97.1 t F.G. EL.=97.3(MAX.) BACK OF HOUSE n MAINTAIN 2% SLOPE OVER S.A.S. a�a a DECK ' L = 19' _ d O S=1% (MIN.) ® S=1% (MIN.) • 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" C4 6.. DOUBLE WASHED STONE u' 6 s (OR APPROVED FILTER FABRIC)i4" 2' EFT"4 a t 1EXISTING 48" LIQUID DEPTHa �3/4" TO 1-1/2" DOUBLE �LEVEL WASHED STONE�D INV.=94.67 PROPOSED 4'Gas BAFFLE _ INV.=94.50INV.=96.15f �� = 12:8' (VERIFY) 3 OUTLETS INV.=93.50 a EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN cv I I PROPOSED S.A.S. H-10 RATED I I 2-500 GAL CHAMBERS SURROUNDED W/4' STONE TOP CONC. ELEV.=94.3t r ---25� —I NOTES: BREAKOUT ELEV.=94.00 aaBa a INV. ELEV.=93.50 aaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaa6aaa6Ba SEPTIC LAYOUT aaaaaa INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=91.50 We aaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' 2 x 8.5' = 17.0' 4' ON A MECHANICALLY COMPACTED STABLE BASE OR 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH 25.0' SIX INCH AGGREGATE BASE, AS SPECIFIED IN 310 PERVIOUS MATERIAL CMR 15.221(2). 5' (MIN.) ABOVE G.W. a.z� 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION ®®®® ® ® ®® BOTTOM OF TEST PIT, EL.=86.0 z 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE I- ®®®®®® ® ®®®® 33" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. It LOf d ®®®®®®2 ® ®®®® SEPTIC SYSTEM PROFILE N Z ®� 102" SOIL LOG DESIGN CRITERIA DATE: APRIL 9, 2021 (REF#TPT-21-93) 4" KNOCKOUT SOIL EVALUATOR: PETER McENTEE SE#1542 20" DIA. COVER NUMBER OF BEDROOMS: 3 WITNESS: DAVID STANTON R.S. HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT 0 / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN 97.3 A 0" 97.0 A 0" y DAILY FLOW: 330 GPD SANDY LOAM SANDY LOAM DESIGN FLOW: 330 GPD 96.8 B 10YR 4 2 6" 96.5 6" 10YR 4/2 4" KNOCKOUT B GARBAGE GRINDER: NO-not allowed with design SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 938 IOYR 5/4 10YR 5/4 q2 500 GALLON CAPACITY, H-10 LOADING .74 GPD/SF C PERC 94.3 32"/50" CHAMBERS EXISTING SEPTIC TANK: 1500 GALLON CAPACITY ' PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED N.T.S. USE 2-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND I MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN I SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y 6/4 2.5Y 6/4 86 ARROWHEAD ROAD, HYANNIS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Quinn's Excavating, 39 Bog River Bend, Mashpee, MA 02649 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 86.3 132" 86.0 132" Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. PERC RATE <2 MIN/IN. "C" HORIZON Engineering Works, Inc. N.T.S. P.T.M. 167-21 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 5/7/21 P.T.M. 2 Of 2 I , . i I ; 1 i j ' I I i i I ' ' ! i i �! 1 i n_ -S z ,sysr`r5 j. I. i .' i_ _.I '— •' I— r i -- : Lit- 1 --�_i I �� ,,,,ti � s r rf� •� - I I.` ! �! i ! ___ � I+-- i i I t I !P� _ i � ! 1 : i i 1 I J 1; I i i ! i I ' '"`�' ! -; -- - -• - -- ' j IY ' � i, i � �,h� „� .`'t�# ! j. I ! I !- ! i- I I ! I i 1 . • ; 1 ; t � I I 1 -? I I i ',' i� � ... _� _- ::,.f:c.l ,p.•-h .e. !- -j - _ .-- - -j'--= '- `--'-"------` -'--'-- Z � � , ; I• 'l ��f , I I '-I--�---- --_�._-_ -'-�---'!'•--I-'-'-'—!-- I-- I--'- -'-' - '---- ' ! - I - -' ' � I ' ! I i ! i �r I I ! paf ;.:'� 1. �'�' I I I w ' ! ?' I -� , I � ! t'- I I- ! I ! I i —I •i ! I I ! .! ! 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