Loading...
HomeMy WebLinkAbout0080 DUNN'S POND ROAD - Health 80 DUNNS POND ROAD, HYANNIS A=270 011 is I UPC 17734 No.2 153CR q , HASTINGS,UN I 1 (`� (�O U\ �`(� I 3 I� ,1 ��V I I c Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 80 Dunn's Pond Road l', Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 10 page. City/Town State Zip Code Date of Inspection `:� 1`0 l 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 on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return Name of Inspector key. B&B Excavation Company Name 374 Route 130 Company Address Sandwich Ma 02563 Citylrown State Zip Code (508)477-0653 S113640 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5-10-17 Inspector'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 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 y� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System was in working order at time of inspection. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is Hyannis Ma 02601 5-10-17 required for every y 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system asses if the well water analysis, performed at a DEP certified laboratory, for fecal Y P Y , P ry, 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 _ page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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 ❑ Elthe system is located in a nitrogen sensitive area (Interim Wellhead Protection I 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. CityrFown 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): 2 Number of bedrooms (Actual) _2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 _ page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage See below 9 ( Y 9 (9Pd))� Detail: 2015- 11,968gallons 2016-9,724gallons Sump pump? ❑ Yes ® No Last date of occupancy: October Date Commercial/Industrial Flow Conditions: Type of Establishment: NA 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 w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner- last pumped 3 years ago 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 W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1999 COC Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 7 feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Town feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 7 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: 1500 gallons Sludge depth: 3 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 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 33" Scum thickness 1 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 16" 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.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is not in need of pumping at this time but should be pumped every two years for maintenance. Grease Trap (locate on site plan): Depth below grade: NA feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. CityFrown 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: NA Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 11 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box was in working order at time of inspection with no sign of past backup or carry over. 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.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: (2) 500 gallons ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching was in working order at time of inspection. No high staining, damp soils or lush vegetation were present. Chambers were dry when viewed. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: NA 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 w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. CitylTown 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 REAR A A1.40' A2.35' 3 1 A 31' 4,r,J A4-32' B1.25' B2.27' B3.31' 64.40' 4 I t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °w 80 Dunn's Pond Road M Property Address Shawn Cullen Owner Owner's Name information is required for every Hyannis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells >10' Estimated depth to high ground water: 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: Inspector has also installed systems on same street at lower elevation with no groundwater encountered At 10' 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 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 80 Dunn's Pond Road Property Address Shawn Cullen Owner Owner's Name information is required for every y H annis Ma 02601 5-10-17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 McKean, Thomas From: McKean, Thomas Sent: Wednesday, June 23, 2004 9:22 AM To: Broadrick, Tom Subject: RE: Sean Cullen at 80 Duns Pond road 1) The local BOH 330 Regulation went into effect in February 1985. The Town Ordinance Article 47 went into effect in 1987. The State Environmental Code Title 5 went into effect on March 31, 1995. Yes, anyone receiving permits for a greater number of bedrooms than would otherwise be allowed today would be exempt. 2) I'm not sure exactly what his complaint is about his neighbor. However, his neighbor would be required to comply with the State Sanitary Code, Chapter 2, 105 CMR 410.400 (Minimum Square Footage) Regulations. Overcrowding is not allowed regardless of where the property is located. 3) Everyone/anyone has the right to request a variance before the Board of Health. Based upon past experiences which I witnessed at the BOH meeting, I would guess chances would be slim (less than 50%) in obtaining a variance from the State Environmental Code, Title 5 in this regard. Variances may be granted by the Board if: (1)the applicant can provide the same degree of environmental protection without strict application of a particular provision , and (2) strict enforcement of that particular provision would be manifestly unjust. -----Original Message----- From: Broadrick,Tom Sent: Wednesday, June 23, 2004 9:05 AM To: McKean,Thomas Subject: Sean Cullen at 80 Duns Pond road Importance: High Tom...I need to clarify all this before calling this guy back. Then if he still isn't happy, I'm sending him to you. 1. You said the 330 rule went into effect in 1986 so anyone receiving permits before that were exempt. Is this correct? 2. He claims the house next door is being used as a halfway house for re-covering alcoholics and you said there was nothing we could do if someone just lives there and brings his friends home who happen to be alcoholics. Is this correct? If he wants to file a complaint, who does he file it with, BOH, Building Commissioner or the Police? 3. He simply wants a third bedroom, can he apply for a variance? How likely is it he would get it? Has he ever applied for one before and been denied? Tom, I don't want to keep dealing with this guy if there is no chance he can ever do what he wants to do so I'd like to respond ASAP. Thanks, Tom B I ' 1 TOWN OF BARNSTABLE N L- IfUN /-9� �/Vf� � �C? SEWAGE # _PF" f� �'c • VILLAGE 11VA41Af1 ASSESSOR'S MAP&LOT _ INS'�x"�"�+►I,LER'S NAME&PHONE NO. J 1)0/M Ai C®W S'0A1 SEPTIC TANK CAPACITY 1, fy o LEACHING FACILITY: (type) (size) .�OD GQ�• NO.OF BEDROOMS _ BUILDER OR OWNER PERMIrDATE: ! II- COMPLIANCE DATE: B 2 Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 r P f, ' o No. t r �/ Fee $50. 00 • THE COM NWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppricatiori for �Diopo!6al *pstem Cow6truction Perron Application for a Permit to Construct( )Repair(X X)Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 8 0 D a rt it s P o n d R o a d Owner's Name,Address and Tel.No. 7 9 0—3 2 7 8 Hyannis ,Mass . 02601 J. Baril Assessor'sMap/Parcel �j, rJ6 0 /,7 80 Dunns Pond Road Hyannis Mass . Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 7 7 5—3 3 3 8 J.P.Macomber & Son Inc . J.P.Macomber & Son Inc. Box 66 Centerville ,Mass . 02632 Box 66 Centerville ,Mass . 02632 Type of Building: Dwelling x Wo.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(n o) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3 x 1 10 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Ex;sting 1 000 Type of S.A.S. Rx; er; n g_ ; t Description of Soil Loamy sand to medium fine sand . Nature of Repairs or Alterations(Answer when applicable) A d d i n g t w o 5 0 0 g a 11 o n c h a m b e r s (p a c k e d in 4 ' of stone . 1-Distribution box . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i by this o of H lth. ssu Signed Date 1/11/9 9 Application Approved by Date `" Application Disapproved for the following reasons i Permit No. Date Issued '�' ^".n.+...�,L f1,..:...._.r.r.:fa... .r'. ..„I.,.. •--..�-. �.< 'r. Y t.�r �'!-vw.:-.-.I,�: .'. -4. '�-. r -,=y.-.-y L. '.....,._^y,.;,1 dtiyay.,✓M:A++^-na.� t,Y",,... � r i'.�.� .,. ems.. IP No. 9 Fee $50. 00 R�.. THE COM NWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN 0f BARNSTABLE, MASSACHUSETTS ZippYication for Migpogal *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(X)o Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. $® Aa 11$ P on d R o a d Owner's Name,Address and Tel.No. Hyannis , ass. 02601 J. Baril Assessor'sMap/Parcel �k 70 U /7 80 Dunns Pond Road Hyannis Mass . Installer"s Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 7 7 5—3 3 3 8 02601 J.P.Macomber & Son Inc . J.P.Macomber & Son Inc . - Box 66 Centerville ,Mass. 02632 Box 66 Centerville ,Mass, 02632 ` Type of Building: Dwelling x}No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder(n o) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures .. Design Flow 330 gallons per day. Calculated daily flow 3 x 1 10 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank E x i s t i n g 1000 Type of S.A.S. E x i s t i n g pit Description of Soil Loamy .sand to medium fine sand . Nature of Repairs or Alterations•(Answer when applicable) Adding two 500 gallon chambers packed in 4' of stone. sl'-D 'stribut` on box. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this oarrf H lth. Signed Date 1/11/9 9 Application Approved by _ Date Application Disapproved for the following reasons y t Permit No. j. Date Issued - =---=----------- ————— ------- ;; THE COMMONWEALTH OF MASSACHUSETTS ; t' BARNSTABLE, MASSACHUSETTS Certific*gf Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X'X Upgraded( ) Abandoned( )by J.P•Macomber & Son Inc. at 80 Dunns Pond Road Hyannis ,Mass . has been constructed in a cor Once with the provisions of Title 5 and the for Disposal System Construction Permit No. / 6— dated �"' 6 �`" 5W Installer J.P.Macomber & Son INc. Designer J. P.Macomber & Son Inc . The issuance of Us permit sh4W be construed as a guarantee that the system 'll fu ction as designed. Date of Inspector ; $ 50. 00 __ __,___ � No. ` --------------------------Fee .^' �'" THE COMMONWEALTH OF MASSACHUSETTS PUBLIC•HEALTH DIVISION - BAR TABLE, MASSACHUSETTS Migpogar *pgtem Construction Permit Permission is hereby granted to Construct( )Repair... (X X)Upgrade( )Abandon( ) System located at 80 Dunns POnd Road Hyannis ,Mass. 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 lie t. II Date: Approved by +r ?'1/ '� ! �✓'ll�i2/� 10/9197 ♦z NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) 1, Joseph P.Macomber Jr _, hereby certify that the application for disposal works construction permit signed by me dated 1/11/9 9 concerning the property located at 80 Dunns Pond Rnarl Hyannis .Mass _ meets all of the following criteria: 0 There are no wetlands located within 100 feet of the proposed leaching facility /There are no private wells within I50 feet of the proposed septic system There is no increase in flow and/or change in use proposed There are no variances requested or needed: If/ If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) S-© f 'B)Observed Groundwater Table Elevation(according to Health Division well map) _ SIGN 2 DATE: 1/11/9 9 L SED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). q:hcalth foldcr:ccn AsBuilt Page 1 of 2 a v n i�yr Druu�,�i twL.c � t UXA'tDN U&A&R-0Nd /'? b SEWAGE x 737- /J' VILLAGE 4 A 441 /sS ASSESSOR'S MAP&LO'T'-,iL n• 0 i� INSTALLER'S NAME&PHONE NO. 710 Al A C O/b19P_9— SOW SEPTIC TANK CAPACM -If-.(J 7 LEACHING FACILITY:(t),pe),1-1-LD&lChAm*IeAo l% (size) J-Oe 6-44 NO.OF BEDROOMS I _ BUILDER OR OWNER P.-Q a PERMITDATE: j- 11- Cl COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 Weiland and Leaching Facility(If any wetlands exist i within 300 feet of leaching facility) Feet Furnished by i �o http://issgl2/intranet/propdata/prebuilt.aspx?mappar=270017&seq=1 9/27/2016 E] EX. MAP 270, LOT 17 SHED ifflf} DUNNS POND RD. BARNSTABLE, MA N TANK `o o EoDo co G vi 8H Qi N , N /l EX ._ DWELLING 37.79 to o M 100.00 a D UNNS POND RD. / ar,r i S , SEPTIC SYSTEM SHOWN --fSr-DRAWN-FPO.V AS—BUILT LOT AREA 12,916 SF ON FILE AT THE TOWN EX. DWELLING AREA— 771 SF HEALTH DEPARTMENT EX—LOT COVERAGE= 69 CERTIFIED PL 0 T PLAN CULLEN RESIDENCE' CER77FY THAT THE IMPROVEMENTS SHOWN OF q� #80 DUNNS POND RD AVE BEEN LOCATED W17H AN INS7RUMENT ��,P` ss�rBOAUSMBLE, MA y JRVEY. ti� DRANJ: RBS �r ROBS DATE �1NF 91 70Q3 SYKES SCALE:1"=3a' MG.DPP 0419 No. 35418 "' o EASTBOUND T�R ,�` LAND SURYEYING, INC.; P.O. BOX 442 086 SYKES, PIS DA7F FORE57DALE, MA 02644 508-477-4511 .R� p UPS DATE:10/ e9 PROPERTY ADDRESS:J,'• Ba- -i1 4/5 80 Dunns Pond Road to � c9 Hyannis,MaSs. 02601 t On the above date, I Inspected the septic system at the abov eat. This system consists of the following: 1 . 1 -6 'x8 ' . block cesspool. 2 . 1 -1000 gallon precast leaching pit. a eased on my In� �ctlon, I certify the following conditions; 3 . This is" not a• title five septic systems . ' 4 . This. is_a. sewage• system. 5 . THe sewage system is i6 hydraulic failure and must be ' , upgraded to a title five septic system. ( ••95 Code ) SIGNATURE': I . Name: J . P. M'acomber Jr... i . . I . ---------------------- Compsny: J. P_Macoe)ber & Son' In*C —•--- Address: • Centerville �4As.§_;_Q2632 Phone: ' --- THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY A JOSEPH P. MACOM�BER & SON, INC, Yanks-Cesspools-Lsachflelds . Pump+d & Insted ill ' ' Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5-3335 775-6412 COMMONWEALTH OF M. �SSACHUSETTS EXECUTIVE OFFICE OF E: /IRONMENTAL AFFAIRS DEPARTMENT OF ENV? :0NMENTAL PROTECTION ONE WINTER STREET, BOSTON, NIA 02108 617.292.5500 r WILLIAhf F.WELD TRUDY CC Govcmor Sccrc ARGEO PAUL CELLUCCI DAVID B.STRL Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL .'STEM INSPECTION FORM Commissic PART A CERTIFICAT. .):N Property Address: 80 Dunns Pond Road Hyannis,Mass;dress of owner: Date of Inspection: 1-U/20'/98 different Name of Inspector: ,Trjspnh P_Macnmber Jr. I am a DEP approved system inspector pursuant to Section 15.3 :'j of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: Rnx 66 rpntprvi 1 1 n MgSS 02632 Telephone Number: 5$87?5 3338 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this :'tress and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed _d on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Conditionally Passes eeds Further Evaluation By the Local Approving . .,noriry Fails Inspector's Signature: c ate: The System Inspecto all submit a copy of this inspection report to the Al r)ving Authority within thirty(30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 . J or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environrr. ,,I Protection. The original should be sent to the system owns and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: YI have not found any information which indicates that the system .:aces any of the failure criteria as defined in 310 CMR 15.303 r Any failure criteria not evaluated are indicated below. COMMENTS: B) SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditiona: ss" section need to be replaced or repaired. The system, upo completion of the replacement or repair, as approved by the Boar f Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of deterr. �tion in all instances. If"not determined', explain why not. The septic.tanl6s metal, unless the owner or operator h;. rovided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was insta! within twenty (20) years prior to the date of the inspection; o the septic tank, whether or not metal, is cracked, structu unsound, shows substantial infiltration or exfiltration, or cant failure is imminent. The system will pass inspection if t. .:xisting septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Pegs 1 of DEP on the World Wide Web: nttp./%.n :.gnet.state.ma.us/dep Printed on Rec/, 'aper Lc SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 80 Dunns Pond Road Hyannis,Mass. Owner: J. Baril Date of Inspection• . I Q /;%ZQ'98 e) SYSTEM CONDITIONALLY PASSES (continued) kjg 1 Sewage backup or breakout or high static water level observed 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 the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box Is levelled or replaced 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 plpe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: 0 Conditions exist which require further evaluation by the Board of Health In order to determine if the system is failing to protect th public health, safety and the environment. t) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water ,t 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 APPROPRIATE) DETERMINES THi THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply c tributary to a surface water supply. 496 The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for col(form bacteria and volatile organic compounds indicates th. the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to c less than 5 ppm. Method used to determine distance _(approximation not valid). 3) OTHER XX 1 6 ' x8 ' block cesspool wi h a 1 nnn- ga i i on precast (s.vl..d 0�/�S/17) 7.Q• a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) property Address: 80 Dunns Pond Road Hyannis,Mass. owner= J. Baril Date of Inspectlom1.0/20/98 0) SYSTEM FAILS: yop must indicate ti;%.er 'Yes' or 'No' as to each of the following: $ I have determined that the system violates.one or more of the following failure criteria as defined 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 correc the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. _ P Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. jodit 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. {� Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped O . Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _. .L Any portion of a cesspool or privy is within a Zone I 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. If the well has been analyzed to be acceptable, attach copy of well water "lysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: You must indicate either 'Yes'.or 'No' as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 11 of a public water supply well The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please.consult the local regional office of the Department for further information. (=�vl��d 0�/1s/77) Fey• 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST PropcnyAddress: 80 Dunns Pond Road Hyannis,Mass,, . Owner: J. Baril Date of Inspection: )-q 2g98 Check if the following have been done: You must indicate either 'Yes' or 'No' as to each of the following: Yes No ,� Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or Industrial waste flow. _ The site was inspected fo',Lrr�signs of breakout. _ All system components;�iding he Soil.Absorption-System, have been located on the site. The septic tank manholes were uncovered, opened,and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance o Sub-Svrface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) i SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:80 Dunns Pond Road Hyannis,Mass. Owner: 1 0/ .2IT 9 8 Date of Inspection:J. Baril FLOW CONDITIONS RESIDENTIAL: Design flow:�lg.p.d./bedroom for S.A.S. Number of bedrooms: Number of current residents: Garbage grinder (yes or no): /C Laundry connected to system (yes or no):" Seasonal use (yes or no):AV Water meter readings, if available (last two (2)year usage (gpd): Sump Pump (yes or no): V13 Last date of occupancy:q�ff0 COMMERCIAUINDUSTRIAL- Type of establishment: Design flow: V,#aallons/day Grease trap present: (yes or no).AI Industrial Waste Holding Tank present: (yes or no)..Vl Non-sanitary waste discharged to the Title 5 system: (yes or no)-4 Water meter readings, if available: Last date of occupancy:�U� OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECO S and s rce of information- tk ,System um 7T S y p ped as pa of inspection: (yes or no) If yes, volume pumped: 0 allons Reason for pumping: U/t TYPE OF SYSTEM — Septic tank/distribution box/soil absorption system Single cesspool ,�� A^� I�iT Overflow rassp*of�l Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Copy of up to date contract? Other 1114 APPROXIMATE E of all mponents, date installed (i known) and source of information: Sewage odors detected when arriving at the site: (yes or no),—,2) (revised 04/25/97) Page 5 of 10 I� Customer Dab. Enty 'Screen 1 6j.,2_d 11 Tee: JaC:gUelif iv' i-3aril Address: OIL Dunns Pond Road jbarS Towne: Hyan.' s State:MA Zip:021biJ I Milling Tei 71-0 2hW TeI2 notes: 1 7 8181 system LP €00.00 11.181 10154 lever 10125194 .imp } l i t c:•li 194 911111-4-8 p urr p 1 }oo1 C"l1P L60.00 1 i ` low- P �1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:80 Dunns Pond Road Hyannis,Mass. Owner: J. Baril Date of Inspection: 1 0 /2 0 /9 8 BUILDING SEWER: (locate on site plan) 1 Depth below grade:, Material of consiructio Ycas ion _40 PVC To of er explain) Distance from,gr�j ate wale supply well or suction line l�4 Diameter 55`` Comments: (condition of joints, venting, evidence of leakage, etc.) Joints appear ti gam;No Pv; HPnr-P of i gaka . System is Vpnt-pH -hr�,;gh the heuse—'vent. SEPTIC TANK:dxl�_ (locate on site plan) Depth below grade: Material of construction: concreteyR me(aIA/AFibergIass,4J Po1yethyleneA/$ Cher(explain) If tank is metal, list age &Z' Is age confirmed by Certificate of Compliance�(Yes/No) Dimensions: 4 Sludge depth:_ Distance from top of sludge to bottom of outlet tee or baffle: ,4 Scum thickness: VJ9 Distance from top of scum to top of outlet tee or baffle:_41111f Distance from bottom of scum to bottom of outlet tee or baffle:. How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Septic tank is not present. GREASE TRAP:' (locate-on site plan) Depth below grade: Material of construct ionA/4concrete /�i metaI(AFiberglassX.A Polyethylene&/ other(explain) AA Dimensions: Scum thickness: AIA 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,-etc.) Grease trap is not present (revised 04/25/97) Pay• 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 80 Dunns Pond Road Hyannis,Mass. Owner` J. Bari 1 Date of Inspection: 1 0/ 20/98 TIGHT OR HOLDING TANK:• h&jTank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: concrete I'�metalFibe(glass? Polyethylene�Rother(explaIn) Dimensions: 4)14 Capac;ry: gallons Design flow: gallons/day Alarm level: in working orde( Yes:.CJJ No Date of previovs pumping: yi9 Comments: (condition of inlet tee, condition of alarm and float switches, etc.) Tight or holding tanks Arp not =rpgpnf DISTRIBUTION BOX:A ,A*—' (locate on site plan) Depth of ligvid level above outlet inven:_1*_ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or,out of box, etc.) _ Distribution box is not present PUMP CHAMBER: (loc;tc on site plan) Pvmps 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.) Pump chamber is not present_ tr.ys..d 04/25/)7) r.o. 7 of 10 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) PropertyAddress: 80 Dunns pond Road Hyannis,Mass. Owner: J. Bari 1 Date of Inspection: 1 0/ 20/98 SOIL ABSORPTION SYSTEM (SAS):Y (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: . leaching pits, number:1„ leaching chambers, number. leaching galleries, number: leaching trenches, number,length: leaching fields, number, dim ions. overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of pondingg, condition of vegetation, etc.) The leachin it is-in ai re vege a i i Aormal Pit pumped two wPPks prior to the inspection Tt, ; G Wii �a" of capa�ty a, the CESSPOOLS: (locate on site plan) Number and configuration: 19 , Depth-top of liquid to inlet inven: )AJfKI^T- Depth of solids layer: Depth of scum layer: Dimensions of cesspool: 6 Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as pan of inspection) Cesspool was pumped 14 days prior to the i nc=anti nn Thi c i c inflow. Cesspool'• -is in hydraulic failure. It is not leaching. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Same as abov r PRIVY:.A VC' (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.) Privy is not rPSPnt - (r.v1..0 04/7s/37) P.y. I of 19 Ll SVBSURFACE SE1vACE OISPOSAI SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (conlinucd) Ptopcn7 Addicts: J. Baril 80 Dunns Pond Road Hyannis,Mass. ' O+lc of IMPcc1101%:1 0/'t2.0/98 SXEICH Of SEWAGE DISPOSAL SYSTEM: includc tics to at least two permanent relerence3 landmarks it bcme rtlntoshouscl locale all wells within 100' (locate whcrc Public water $vPP Y �X9 boot 4`,4t t y • $o D�nS_._ fond 4 oJ�n t5 i ►•p. of 10 1 SUBSURFACE SEWAGE DISPG A SYSTEM INSPECTION FORM I';'1 J C SYSTEM INFOIt1.t -TION (continued) Property Address: 80 Dunns Pond Road Hyannis,Mass. Owner: J.. Baril Date of Inspection: 1 0/20/98 ) Depth to Groundwater a0 Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record ,Observation of Site (Abutting property,observation hole, basernert sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps heck pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the.High Grouncdvrer'Elevation. (Must be completed) Used Gahrety & Miller Model 12/16/98 e tr.vl�.d 0{/�3/77) 7�y '�Qol 30 ?i.:.J' • n cam,—. . ,. • I a•wwT.+�nTR"TP': s►raw•nt.nnP'Art.►RJ•nrnw+T.n►11n♦•T'n.n.R*A1Y 1Arw��nwT .�"n.•T—.r+•r+*-..'-.r' TURN OF Barnstable WARD OF HEALTH U[tFACF SEWAGE DISPOSAL SYSTEM IN�9PR�C't'ION FORM - PART D •- CEIZ'f1F1CATIUN I M/'T'11^1 �r•w -TYPL 0A PAINT CLEARLY- ' PROPERTY INSPECTED STREET ADDRESS 80 Dunns Pond Road Hyannis,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL # _A 17 OWNER' s NAME J. Baril PART D - CERTIFICATION NAME OF INSPECTOR _Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son It1-6: COMPANY ADDRESS Box 66 Centerville,Mass. 02632 Street Town or City State &IP COMPANY TELEPHONE ( 508 775 - 3338 FAX (508 1 790 -1 578 R CCR'rIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recommendatlons regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: ' System PASSED t The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of is form. System FAILED* The inspection which I have con cted has found that the system fails to protect the public !health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature ' Date10 20 /98 One copy of this tific.ation must be provided to the OWNER, the BUYER ( Where applicable ) and the BOARD OF. HEAL'I'll. • If the inspection FAILED, the owner or."operator shall u d within one year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3.10 CFIR 16 . 305 . partd .doc W � Z7 SS byv 71�� THE COMMONWEALTH OF MA.SSA.CHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. rs ncimp, Dircclor of tlic l) i iui� ul� W1lct Pollution Control � -1 1� N ...r�l.' ... ` �� Fps. 4.�..✓..%.�.�..G..� THE COMMONWEALTH OF MASSACHUSETTSS* -� BOAR® OF, HEALTH ------ L0..........0F.. . ��.� /LACfil�C ...................................... ApplirFa#ion for UiipnsFal Vorkii Tonstrnrtion .ermi ft i Application is hereby made for a Permit to Construct ( ) or Repair (4o) an Individual Sewage Disposal System at: ......... �....D .0 W5....1�. ,r .. x' ----- -------------------------------------------------------------------------------------------------- Lo i Addre - or Lot No. rz O ner Address - ldlh ,s---- ---------------------•------------ Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons.................:.......... Showers — Cafeteria P4Other fixtures .---•---------------•-••--•----•----•--•----•----. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank-Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ xDisposal 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..........-............................. aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit..._............_... Depth to ground water........................ Phi r=O .......... Descriptionof Soil......................C AQW. ,�' ...•------------------------------------------------------ V ----------------- ••......... ...._........ ----------•----•---------•----..--.-..__...-------------.-----•---------------•--•------------•--------------- ........... ........... _--------•-------- W -•--•----•••-----------•-•--------•-•--•--•--------•--•-•---------•--••••-••---•----------------•------•----------- . . . ------------•---- UNature of Repairs or Alterations—Answer when applicable..... _j__ . .� ._.qa.�,, .................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLIJ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in 'operation until a Certificate of Compliance ha been issued by the Loard Qf health. ne Date Application Approved By----- _ ... Date Application Disapproved for the following reasons:-•-•••---•.........--••--•-•-----------••------------------•------•-•-•--------•-----------•---•---------•-_.._. ...........-•-----•-•--•---.....-•-------------------•--•--------............---............------------.-•------•----------•---••-----•-•------•----------•-•---•------------------•----------•-•------ Date PermitNo........................................................ Issued........................................................ Date - --- - ------ _ L`.9-C ION SEWAGE PERMIT NO. VILLAGE INSTA LER'S NAME & ADDRESS BUILDER OR OWNER go DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � �iQlu�. w �-� C � � � � p � � ,/ Q Yam. � � � � ' � , � .. �, •o-� - �iJ. �� � No ti`tea '1" �j Fss THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH }} ......... .....4i��i�ian r..........OF..�w V. ..................................... Appliration for Bispos al Works Tontratrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (I.) an Individual Sewage Disposal System at Lotror� jA�ddre s f / or Lot No. ... ......."x: �ea -••-- ----- ------. L��¢- a yF Owner 1 r dress .................... Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder p" Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid'capacity..........._gallons Length................ Width................ Diameter................ Depth................ W x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. 3 -_..__ Depth below inlet.................... Total leaching area..............__..sq. ft.Seepage Pit No..................... Diameter.............. z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by....................------------------------------------------------------ Date......................................... W ,.� Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------- -- -- -- ----- ............................................................................................ DDescription of Soil.....................=-- = .=• • ` '-, s" . «`>`............................................................................................. V .-----------------------------------•----•-----------•-------------------------------------••-------------------------...._..._.......---•------------------._.._..--------...----••••........----------- W ---•---------------------- ------------------------------------------------------------------------------------ ---- U Nature of Repairs or Alterations—Answer when applicable......... s�` r'- �'...... ` . •---•---------------------------------------------•------•-•-----------•--......:.----•----------------------------------------------••---....:..-------------------------------------•----•----------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.- 5 of the State Sanitary 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 Date Application Approved B .___ � t ✓�___ : :__:.:............................ ........................................ Date Application Disapproved for the following reasons____________________________________________________________________________________________ ___________________ ............................•--------......--•---------------...........--•------------.....------------.---------------------------------------------------------------------------------------•---•--- Date PermitNo......................................................... Issued-•...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s s...���'f'a:.�...OF... f .�.. �e. � ....r`r� �................................... (Inrtifiratr of ToutpliFatar THIS IS TO CERTIFY, That the I)ad vidual Sewage Disposal System constructed ( ) or Repaired ( } by......... r -F—I v f`� } r 1 p In�s�taller�✓} f "Y at....................................p J ( .' ! s�.... ..l_ -/fit✓x°f_ .^....................................................... f ...` P. ............. has been installed in accordance with the provisions of TI , r Theta Sanitary Code as described in the application for Disposal Works Construction Permit No... ......... ... .:..... :........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BELCONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................��?o l ...................................... Inspector....--...... '....------•-------= ==........................... THE COMMONWEALTH OF MASSACHUSETTS 7 y _ BOARD, F HEALTH a° t� ., f �' c- t'i� ....OF..... ¢ �^ N FEE .-.-.--. t190... rr�tit Permission is hereby granted.....�e_______................. __ ...... ....... _..._ ___. to Construct ( r Repair (4.�fi n Indivi�aal Se e Disposal System ..Street as shown on the application for Disposal Works Construction P it No..................... Dated.f....................._................. ............................... Boar f ealth DATE................ ' , ----------------_----------- •FORM 1255 HOBS & WARREN. INC.. PUBLISHERS d°' �� rr ru?ar&DGg E�►5�".__ . ��c.r s-r. Fx r S7• _.... . ._ .... ..__. IMPORTANT - UPGRADE RED aex alftlbN 3- o?bx aay�6A ►- ,�bx y'H/bH s- STATE SU1LDING CObE REQUIRES THE UP( 00 SMOKE DETECTORS FOR THE ENTIRE DVsl ONE OR MORE SLEEPING AREAS ARE ADDED C L+ axis 7MTE; A SEPAFA7E P,-:R T I5 p=(�fi�EC INSTALLATION OF SI„0K nFTECTORS- jRE 1 , _ - ��` PERTrIIT _ 4- - T DOES NWT SATLSEY THIS REQUIREME I11 eW A RA6r-- tJ `, dp f c -► Z - _` •o a O ! �� ,� - S�rtooM T` SMOKE DE7`2ET�RS �� � ► z � EVtEECfcIE o , ISTA E R' ING T. AA 16R N QV£P- FIRL DE' I I 1 BOTH&GNATURES Ar,E REQUIRED FOR PERVj,71� C 0 /o L rb K Saro a ° L 2DOivl 7 sp 1 2 j • _ D--F--Lt" W�L�c• .._ . . cw , U ,n A I P- _.� 9 x 7 .o1l...4 rz.. '"DoaRL 3• LAmbipal v oU-FR t -md Vdll-, � Cl CA, l -p1r ���'� b � � o� �' - D= r• gl,- � ' - d -r•- r1V.r -R 02 SN ._ ic • y 1 i S=0 1 7' ; W . U� • y:�a /i ��—�it { ' dN o , 1 4 � U �0 m I� ,I + t Q O 6 1 ' � O o?,y '' d U � R' a �/ yQ O ve r - S l iy 7.1 fi-- w 7 u� 7' .2xZ4. Esc r.t . , . F Z x� WIN a vd b , - :y: - 1� C ❑ oo� 1 = i I i F ; y# r fi ro — ZEFI- r� I � I f I k t f r k i I � " P 1 �f i � �<' ;Y fi f t • 3 i i f; n j r � � t�.{�tl. �, \ ,: - � , m fi � � f _� , . - f.ly9/H�h x„�+:F 1: ��c3- 1c�x3 -t H9/ft f,�e,��`£ •:Lc��y_.._ YL I � o 91 So 1 ice•£ ?1Qo�1 ' �► H.o L x 6 �►KrOb 2}8 �.L��Q � y � X j a e ohoS Matt/ oSM aN 9 `� .. _.. �• le M3 �1 avo.l _ . N C►"1 bo)t yr ,NSW 10-5 It N-4a- Mary ( �3N'It►fY3 v a p .a JAR t„ i, L ... .. ,„..,-. ,,.:,.. ...,....W, „., .. .,_, 4 ,._ '- +e' ,,.,...,,, .,,.,,. .:.,.<,.m+-r a.. -..w-3, - .,,,.rr.«<...,.. I,, - .......N,.,. ,... — ....,j. � ,,.,,....r>.,. a+.,,,-,-< „ ...,. ,. ,,.,. ^a ,.�. ar•:., a .. .,ti .r.+t.,in. ?9F'.r".-„" . _ ....,. .,., ,. -;.,?F; a ;� .*n. ,. >., ,. a. -_ F .,a t.r-.+ _ ,4 .t.'S.. ..s.:: u; ;'3 ""5 ,' _ i"., ..; ._e 11 11 .. c.... : d _ .. ,.:..,.., P .. ... r r t. ,...... R. Y v ��{^ a. ,... :..z f.:-`-4'�;.. ... :P •r ,e` f.., , ..r .r• ,.Ki a _. f .2. : ,Y - ..„ - , ,e - -.; �.. ` >, ._. r x - t ti >. �y i... - , ..a..-. - - s," ,.. 5 r - , '.- -._ , J , -e t. -- Z:..... ,. , .a i _ .. , - r sll , f s' i .: _..� ��.:-_ _R14 9 t R '�v,. 1 ei...rl. ..., a , '' :. : , ,I r J 7, ` r ir,v,# -5IV 6 +3 v, , ,, ,� f. h, .' 'f v4, ,,,t R - tt. r'. . 1_1 �Sp�IACc/r .tZoF ? 4 5 - ." - :tY - - s ! ,. .. - . .:. k ,,, .: ,, 1. ,. ;. u 1 ,•. ., . .� x ax � � /o +' X RM �a v is .:.rwr :: _ .. , -. ,fl r.,..r, ,.r.. , w I .r .iti- ;tw.r,:: - r , r ax , R1. . t Arm-S-, N S b . , „ , .. ., r- m ,.. 1. r - . p1�0 r*% .„ Irl .- b�E _ ,. t, . -, y. _,,, n a r. .. : _... - , . _ .. .: _ .. ,._..,. � .., to �a .. , _ .. ... I : .. - --i 4T.. i . _ II y , .�, -,,,.-�--­�;,1�­�,Z_.., , f '� r /, . , , _ e - - _. y.. , t r y. - - - ,: x_pa., _.: ,. . -,..: .. 1. V = SIf� 1. Q. O_. Q._..._... It :.,r. , 4 e _ N . 'r - i . . ,. _ s A :: .-. k� _P�. _ _ v? - ,� x. r, .., .,..,. .. -7 5 ,. , .1. ..n. , 7 x1. "fDxl . , :, , F , : , „ . _ ,. r x-f �,� ,," .. .,: .- ,,, ,. ..,. . . < , . .. _ ,._. ,.. _, - _ , , . ... . -.:-,. ..,., _ r.rk r .r .: .-- . �'f "zx. 1 -x- aft a ,... . r: . . .... Y .. : - : . t-, ., i. .., ,--,. .. - . PL�'T'� s , p �.,v. a C`�C_. - - _,, ,. , ... a ff :,-, .., a, �i OG•.. ,.. _ - / 7 Y r icy. Gr r. w y -< t s . 1� a._.. w :` s,., .., ., .-. ... ..._.,,.,. X t - '•, r % _.,. _ �> .. 1+� _ .� ... .. ,.,. , rf_ ....,.. .. ,.5.._ :.. �.,.. -.. .:s .. ,- .. ... .,-..3. ,.., ., a -... 4-., R •A ..:-.- a .. .. .. '.' ,:.:... .-.. r .. r ✓.- , :(- '3 . c # ¢- t y , ........._. , :. -... e +.. J.. � .,.:. .:� Ss`` .. ., .. ..: .. ..f ,. ., a,:.,.: _.., ..,. .�x � �- , ,vs , s ...,.. .., - ._ ,... .. ,. -,m _ y z '�,if I l Fu Qr GN, _ _ W . .S z• ,a. 0 v. E :. ' ,..c.-. w. Y' ..x ��.,, 2,. _ ....:,... .. 4 D tti 6 u' ., r : . ,. .. .- :. .......__.'...... - .. .. .. -...r.. :...w. :.. .., ,. �. :., a .,,. ..,,., .1. Y t� _.-:;.r. ,� :.. :... . . _ ...,:... '�+'..,..:... , .,tr ,,. .,{. _`fit. .>- rU L h , v -, ... -, .IA .4 v. : .: i .S.r. , - 2`r, Y:. _ 1,. .,: ,. y.:' Ye_ .' :.. ...s .. -. y :: Ae _ t + . _. ,,._ �..._+i a.. -. .. ,... [� �y. Y L. ..... :. ......, .. t : n.<. } .v.,7a. .,.. r ':f,.. _ '-C ._ r ,-..., y .:� 1, .'B t. x ..., Y .. _ _...",_ k. t - /� .� _ _3 ,. , .. _ Y .. 7.7Zt� ,. . ,, , 1�7, _,._ _.__ �� f H. _... Q _ _ q } A-- w.. i r _ . .�. ... .. .. . .- , ,.- , ,,. r. ar ...r.. .=.,a. .. ',. _ ...r,. .. ,-2...,. ..' .. ,... -:'*'=r,-, ,_..c. � ��.I� .,,}emu= ,..� '(;' ...,a x. .. -,.;. -; 4 .:r.. .. .. ... .r., 4 -:. ... . {..� ... ....-s. r y ,�., rr '-,'J,�t�/{�� s.. 4 .''f:' . e _ -:� . - tD Po - 3 D« : . , ., ., *, t. .. . . rn I y , `r, .: _ I �" , , a _. i ,..w . -. P. _ n �3 - .. .: i .. ,... ..� ■■� 3 _- M. _ -` w 1r ,. - , r, .: % ell. .._. .� �_.i!- 1 r>z,. _, - :. IM r __ z KIT L , .-. -_. * L „M ._.t._ G ;; .c ,..:.. ...,,. .. - ...:. -- r.. r . i v ,,. x- ,..,,%-. ;,-.. ,.- a :..:� }., 111 ti-_' 't 3 _ .. - .. .. -R... -a ,_,>f ,.., , i r:...r. }} _-Y r..sue. ,�' ' % v .:�T- ._. , : 's... . Fw. - - ' .,...:... ...:. �,, :s :F ... b. -2.uy 1. r _ ..... ... •4. �: -:- - .. v {. t e:, it .: ... , .r; "l-,. .., „ C ,'.._.._ .. ..,�' - C,: .. _ ...,:. , ::d. - 4. iY "-... - ..,.. .. ..: - _ ::' , to , , r e .. .. „, ..,. -_ , >,.... is r .: Lv .- s:_._. e , ..y3, r. 2. ti y, ,.. r .>.. _ _. ,>.. r .: ,: .:r. t , v. vU _ .. ..1. v a v.. - .o-. r Vie. _.. . .,- .:.. .. .,. .r... r ., .,, ,-, 1 a . t. ..w.,r- ( - ,n: :,. r.a.. .- ,-a.. -, ,a , r r . :. ti , ,. ., i:l y _ 0. a � 14 - .: ,,-, ., _«r- _ k , r , t e.,, _ _.-'.- ,... s , ,,..,.- I- rt _ - _.. h,.. S Gi�,,V I l �, . ,. . Tip N�c :.; - '- , :, . r ; : �, L: b,.. L/ - ,:,,., . . x yAG - t.' x� , i axti:: .:,.. Iff-. 91� .: .. -. , T *�,� . , ,. , ...- ,t a tr, w/�� �t< >. ;. , c �. P eZ,� -^. v s x „ C�,l�_ail �K1 SrL o P- Y. ,_ r �,.Posrz i , ,.�� l ... r. SOD ,- r M 71J. r. Qr4G� ♦ . _ . t-- 11 IA-2 1. { , - . 4 _.1tt_-->C,�_ .�- _✓�L!. : COO i , 'd ; nT,`" 1.fr <, . . 3 { . . 4 _ � t . . V ,_ .t b.. - ., s TtoN 11 l ( e AM IN 6 Sic. ems' 1 AILM R.t, inake,al-f �it're I ALE /y":.-t . ''.� 1. . M -. ... ' „ W P 7 /� _ _. , _. „ ____& � , . u '8- - ; __ k:. ., .," a o i. -.,<. . , . :_ ., .., a._.. ,4_. . . _ . -__. �, .... - „ , _ ems., _.. 'V J Q0 ot • d � Z lu t, ,h I Ao�%! 0 o lu SO lu 910 1 7 I ti z 91 "Na I fi s x �/ `'o ax8 0 �' axS ov�E-�2_�, a1 40 LP - _ o . aG �\s°r