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Home My WebLink About0095 DUNN'S POND ROAD - Health 95 Dunn's Pond Road Hyannis A.= 249 .100 i i 1 w 0 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key I to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name f� P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)428-4028 S14454 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"" Title 5 (310 CMR 15.000). The system: : w ® Passes s ❑ Conditionally Passes Fails❑ t� I ❑ Needs Further Evaluation by the Local Approving Authority j v 6/8/2010 R-- rn Inspec or's S nature 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage DispIstem•P/g.1 0� Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 95 Dunns Pond Rd. Property Address Maria D liv it Ma a e0 e a Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. Cityfrown 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: The septic system is in proper working order at the present time. 13) 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•09/08 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 c�M 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation•by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 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 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 Idue to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert.or available volume is less than '/day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: l ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 l5ins•09108 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 95 Dunns Pond Rd. 'M Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every 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 0 No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (9p ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 95 Dunns Pond Rd. M Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection r D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 95 Dunns Pond Rd. Property Address Maria DeCiliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every 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: 2002 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 14"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10, feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank (locate on site plan): 1' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallon Sludge depth: 2" l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 14" 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.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M .' 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09108 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 °w 95 Dunns Pond Rd. M Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No 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.): Box is Ievel.Box has two outlet Iaterals.No evidence of solids carryover.No evidencce of leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 3-330 rechargers ❑ 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.): Sandy dry soil.No signs of hydraulic failure.Leaching was dry at time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is y required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments w .'s 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is H required for annis Ma. 02601 6/8/2010 y every page. Cityfrown 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 /�'R�►u7� ca� Igo� i� A-3 - 30 13-3 t 4Je t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 95 Dunns Pond Rd. M Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of Leaching 25' 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: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 95 Dunns Pond Rd. Property Address Maria DeOliveira Owner Owner's Name information is required for Hyannis Ma. 02601 6/8/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems) completed E System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE LOCATION DO0�1D�SEWAGE# D VILLAGE__1 ,ZAIV1111 ASSESSOR'S MAP& LOT -09P INSTALLER'S NAME&PHONE NO. _l)d k ,1 Anr4 SEPTIC TANK CAPACITY /'L _ d GA L, LEACHING FACILITY: (type b.;J -?� C 9idQ ize) NO.OF BEDROOMS__ e BUILDER OR OWNER �- PERMTTDATE: 102 COMPLIANCE DATE: I b 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 Wedand and Leaching Facility(If any wetlands exist within 300.feet of leaching facility) Feet Furnished by OF !4-0 v : E, A-3 50 A-y -- -39 3 C :�o 13-3 13 = 'Y r k' TOWN OF BARNSTABLE �7C; LOCAnON DOWAI5' 204/1) &SEWAGEt# -`a D VII LLAGE ASSESSOR'S MAP& LOT —470 INSTALLER'S NAME dt PHONE NO. .C.A.l Ate'! zyua.[a� — SEPTIC TANK CAPACITY Z&!U GA-L_ h LEACHING FACILITY: (typeb J �f� V—C 1dA ize) l o� �L--2— 6 NO.OF BEDROOMS BUILDER OR OWNER . PERMITDATE: COMPLIANCE DATE: 13Ib� 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 �, ;� ,t . y ��' ,' , ��S �r} � , # 1 :� � � � � � f 1 � ��,r � � �;��. ._., ,� � . � °�.F. ..-------. � � � � (�� t. � �l �� x, '. No. {=7 + � FEE I W Board of Health, T)A21,1%"TP,%lam , MA. APPLICATION FOR ➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - Complete System ❑Individual Components Location 5�v �� `S Owner's Name Aic Map/Parcel# 10\40 - �QQ Address 1?, e-& Lot# '1 Telephone# Sd$_ _ 31_14 Installer's Name - Designer's Name Address �`G HA izw" Address VO-RAC Telephone# Telephone# S`'I Type of Building ^a IC�Q►Tdg1\. Lot Size Qb 1 sq.ft. Dwelling-No.of Bedrooms =,_1 o oZ ) Garbage grinder (Y�qg Other-Type of Building Om- No.of persons Showers (vl Cafeteria Other Fixtures C?^�,,, ��CC�Q(1 Stn1 _-. LGyr-� Design Flow (min.required) 2►aD gpd Calculated design flow Design flow provided 3315 gpd Plan: Date -4 1 aC� I Number of sheets Revision Date Title Description of Soil(s) Soil Evaluator Form No. J` S DL Name of Soil Evaluator yflCZMEW &ki ?Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS co The undersigned agrees to install the above described Individual Sewage Disposal System' ' ' IV WFiVid further agrees o n�oce sys Aeration til a Certificate of Co pliant hasl o i KITING Signed Date d YST INSTALLED IN STRICT �,� A CO DA N. fa_` � a ir s 0. �- r s � �� f�. No. s►!" , s FEE ilf ; — COMMONWEALTH MMONWEALTH Or MASSACHUSETTS 1 Board of Health, ?)f-12.N%—TP,CsLC MA. APPLICATION FOP ➢ ISPOS L SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - XComplete System ❑Individual Components Location Owner's Name G,ssx�s4,— '� CCi�v1 _2= Map/Parcel# al} - Q Q Address ""� L t-� Gnrl� M Lot# - ,a Telephone# 1-_ 3 1—+4 Installer's Name � � . Designer's Name �41� f11J�C OnC�1P G` } S Address I Address �1Uv Telephone# Telephone# Type of Building `— 1(�p1 '�Q\` Lot Size 9-9 sq.ft. Dwelling-No.'of Bedrooms _\l,J 0 C 1 r� Garbage grinder (All) Other-Type of Building �Q�- No.of persons 3 Showers (4)!Cafeteria ( JK Other Fixtures L..nzc.- 2 Design Flow(min.required.) �oc0 gpd Calculated design flow� Design flow provided � 1•`J gpd . Plan: Date Qca Number of sheets I Revision Date Title \CG? \)�S� t� G` USA`� D se cription of Soil(s) ` t <C —tZ� C,` CG � -''Soil Evaluator Form No. Name of Soil Evaluator LiM2t`ztV'3 ---AA Date of Evaluation ?� o DESCRIPTION OF REPAIRS OR ALTERATIONS 'CL �CZ) j! ,Csl. The undersigned agrees to install the above described Individual Sewage Disposal System in ac rdance with the provi,siops of� TITLE 5 and s,further agrees to/snot to , ace the systg. -in peration til a Certificate of Comp/fiance has been sued by the Boar o Health. Signed ovU /l Date �� r / _ co c a `4 � As. No. <' ' C>"- FEECOMMONWEALT14 OF MASSACHUSETTS Board of Health, �—� L �� MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) Complete System 1 The undersigned hereby certify that the Sewage Disposal System; Constructed, Repaired ( ),Upgraded (,),Abandoned O .. �'j d 1 k t3lR by: U,' � � ` \ has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No� D U , dated Approved Design Flow (gpd) Installer A A ( I Designer: Inspector: ) W- . - ,e_! Date: I O v The issuance of this permit shall not be construed as a guarantee at the system will unction as designed. No. fJC��' � FEE I W _ . -COMMONWEALTH Of MASSACHUSETTS Board of Health, ��5�� MA. +� DISPOSAL SYSTEM CONSTRUCTION PQ MIT Permission is hereby granted to; Construct( Repair( ) Upgrade( ) . Abandon( ) an indivdual sewage disposal system 1 f at l�� s.,1,�S � �� S�r� 1�� 1i'lt / I as described in the application forj� Disposal System Construction Permit No. 11.5 JUG Provided: Construction shall be completed within three years of the date of tti permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date !z /b Board of HealthL,, �4 'Town of Barnstable P# u P)7 Department of Regulatory Services Public Health Division Date a� P` 200 Main Street,Hyannis MA 02601 f•. 9EAMAM rEr$ �p�Eo ►�� Date Scheduled .2 S Zdd Time :dUA4y Fee Pd. �U Soil Suitability Assessment for Sewage Disposal Performed By: 1 ��-�''t�'� ' Witnessed By: .. ...,: :.:,::aa;!,!un; ...... .. ... .::::......::��.............. ..:-�.:...:,.•.....rar ::,..!:i:i,uY:un::unr�o-h..ukk:lu,n-'!, .... .. :_,..,..,:: .,.,_.....:... ....:.... ....:._!:,nn:.:.6,^.:_...I,:,,„a..r..:a:...n,y, ! .I... :.L�.. .: .l!u:lpl!.!!a;r:L.,.r,.,'a,,,..a:: u„!!.,..,"'-_a:.k r ;! ... ,. ..:� I: r�� '+ nl�a':.:;p;!-iu,a:.r:...r.,... ..y. .. .: a!5,r ( r !, ..!w ..,,�r,: ::?i';. .: :...,.. :: ,p c a ..! 1"k. r,_�..!; u. ':ud:a.l= ... ,�.I f. 11 ., .. h:ar:•w;:. Ia 'll .I y: ....r.,:Y.r ..!::, 'ri,;, , . ., r.. ,�.a ,. !:!M.�: ;,. �!h.1:!1'!'�;�!ry�is':ayi=rL�:•'r::..nF^':a��':. ...^:r!rr ,;.!I ,'P; h: r 11�,..V '��•��JI I'::1.^.Lr r,.,, u,u T r,:d ! 1,,;r rvl'IE n'!i4,!'ilif!T'��Il!fir., 1"1"! �fhf�l'i �tlR+! f ��1!ijlA: �'^�:1 Name Location Address �/ D uJl J 0^'/4 Owner's AI�� y Ov10 f Address / t� Assessor'sMap/Parcel: Engineer's Name .d `7 . /d0 NEW CONSTRUCTION REPAIR Telephone# Land Use U ndQ_oe_ OpQc� Slopes(%) °'7o Surface Stones Non 2 Distances from: Open Water Body NIP, ft Possible Wet Area /=ft Drinking Water Well /d A ft Drainage Way Al Ift ft Property Line __ft Other �— ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 1 35t ul-P a �r Parent material(geologic) Depth Depth to Bedrock '`r Ir► Depth to Groundwater: Standing Water in Hole: 0(15 Weeping from Pit Face Estimated Seasonal High Groundwater 4�� t Q,!Ss ,,s V 1 , r 4 r•r: .L.!:�_:.,.:.,.+.c.,:;'::,.+.y.,'';!..-.'::...!....,:I.a.:..!,.•'r.:.:.,w.r,.�:..�r,.,:;}:.r::h Cnll',".!.,::.�,.�"rI++!-,'....a.r!f I,.,�!.:,�!..r-!�.r:n P!..!!rr;,l8.rl..^r.F.f...:,I�,,rl1!.L,:a:;r:I If n.!�a.:..:.n.!aa n::.I�:,.v,:n::n.�,..r!I,•.,,I;I:r.m:r:.:a:,!.::,.!:ua•r.!,.n.ar!:.I,au�,,M1 lv�.l,,aunm�!:::._:�.:r::L:i,�u'f.,.I'x:S+1�:,�.u,.r.1:^:+I,:.r u''•. !.ru r.,::vr.1.1u 11l�::r..:u..!.l;!r;:.":d�l'..`,,1!:',4:!`r.i:.��,yy !i.I,,r,.u.i...,r�:rd:,r:.........,r.r^'lll!. j..r:^! .;i6�n..:�.!::...y.. V. .0 n ` 9! � Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor Adj.Groundwater Level— �:•.i�,2�:.:ar,r rr�'^,.,`,..,_In'.h...r..:.�.l... �:a.......:,r 5 a.�.'.''.........-:r..l i.'Willi;^.:-^rT:�..q:�u!I1 aR r, —.,... Observation a Time at 9" Hole# Depth of Perc A44 Time at 6" Start Pre-soak Time® Time(9"-6") End Pre-soak Rate Min./Inch 41M Fl G,I.MPI Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(YIN) _ Original: Public Health Division Observation Hole Data To Be Completed on Back- - :. :. ... ................:..:::::::.,,::.,:..::•..... ...Soil Other Depth from Soil Horizon Soil'Texture Soil Color Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. LS O�Z3 ��-S woe c-a•K t_e05.Q Me Sect a OD s y 1 C S°7o 1raA Q- �6 -84 � o,N� 9 Cccc�2 Scud , t�s� +' + BEIVTXb1�i.Hi�L�L,t] :;;: >:>.;:::H::.;;:<::;::..;;:.v.�,,.»�»..:::::.::::::.::.:<.:...::::.:.::. .. Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 L S 67 o rcx1 88-►44 Y AN ...................................... . .. . . :... .... . . ...:........: ......: .:::.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e ;>::.:>:.:.......:::....:.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 Flood Insurance Rate Man: , Above 500 year flood boundary No Yes _ Within S00 year boundary No_ Yes y Within 100 year flood boundary No v Yes Depth of Naturally.113CCUiring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervio aterial? Certificalion I certify that on l (date)I have passed the soil a luator examination approved by the Department of Environmental Protection end that the above analysis was performed by me consistent with '� the required training,expertise and experience described in 310 CMR 15.017. [. .y.' .. T { f y f I yi. . .. .. , .r a uii: ]:_; 7,' ::.:a-[ - .a:v. .:. : ...fY _ . „.... , ....... ....... ,. v.r•... ::: ... .:: .n.. .. .. .. t . - I . . . ti - - .. w }I I ' . . -".c "�` ' q.�, 4,`. 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'. .. . ,'r ':�, . :. .+ .? -'. :� t to k .' ..A } r• .1 �' 4 .. '1'. r t 7 + .f , .•! , .j11 JjJ s it ,.' - 55 t 3 " A r. ' 1 i It 11�1-,-I- " 1, . x+:' ,.1 ~.. ••HHks t } lit - .7 • I E. f ii x' ` •E . r 1. - ,; . .. =- N F h; '1. x; Gs: I x ,, �r - - •+S+ ,�, .i � - ... k �.�r`' .. is '4 -r. " . '1 �. F off•• �.. " - °;°i G __ ;., .J tC Y Y.h yt.+!+1 —•ly,•� T- 't++` ':}_. ai'; . v. I . . , ,,:41 - �:,,-:,*�:-��..�, If, 6 : �- , —. .. . , 1. . - - - r. <,a _ .� .,ew -�j �t .ly 4S ;;'y `1 .i t t +�.x" f- - .. .. aaFF�:Sfifi' z I j! i :I i _ rl i Via, 'y R_F. ' �i I . . . �_ t I $-4 $. a. E vt si"' ma y``--•-- -ntA- ,t... n�`•u 4 - ' s,. P _. a '' ,t .. `' y . f r� .. . , . .. c c �. T Jn w 8 O'p 1w,vow C� a _ Vu g d � � O 1 WINDOW LL77 Uv!ND0U.j N1 W H . a Na NEw wAIL ~ - - (A O ER6-p boob ; ► J 6FO -bCO K C) < C5 ' C �19N 0'ef MW NIPA. r, — 7� IN �� o Z I! yyid�: n, �1 O i I -- -" 3-24• DIAM. ACCESS MANHOLES SITE 4 a PERCOLATION TEST � � �. � DoRq"�' 4 tl - 1.0' min, from SECTION A -A - .r .. house to septic tank *NOTE: ALL PIPES AFE TO BE 4" SCHEDULE 40 P.V.C. WqY D Existing Foundation Septic tank coven must De PROFILE VIEW OF ADDITION TO LEACHING St STEM , I wESr o J 10.F. elev. - 101.50 wth,n 6 in- of finished grode +, - Mqt" 4 Date of Percolation Test: MARCH 28, 2002 /--trade o SAS - ,00.ra Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Code over Septic Tank - too.a Grade ow o-B°. - ,00.00 3" or 1/8" - 1/2" woshee Peostone / / / STRfEr 2 a to 0 3/4' to 1 1/2 " Washed Cn shed Stone n+aET 1 ` v, 2 p r Resu is Witnessed By DAVID STANTON - _ INLET `` ` J W ET d p 4i 91 THE ACCESS COVERS FOR THE SEPTIC TANK, Excavator: Shay Environmental Services, Inc. - S + 0.02 3 HOLE - Perc 3lation Rote: Less Than 2 min /inch DIST. Box f DISTRIBUTION BOX AND LEACHING COMPONENT d � S+O.Ot MO'^ '^ 'O"er Top of SA5 - ':,ev :97.50 �� 'SHALL BE RAISED TO WITHIN 6' OF (Z�F� > I rrEv PIPE S tos' NEW t,500 GAL = o oto" per toot T - .-; .-r --..^T--,.-.-�,: SS Cannon Dr r: .; - ...... ,• FINISHED GRADE. p1N� `�2 FROM F11UNDATiDN tq SEPTIC TANK 7 2' Efferetive Dept �• o STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS \- H-10 M N 15 PLAN VIEW ON ALL OUTLET TEE ENDS 0.Dieuo LOCUS MAP i Test Hole CONCRETE FALL FOUNDA N 11 N rn a+ O �� 3 Units a 6.25' = 18.75" d r i No. I II .tl ani , 0 " II 3-24• REMOVABLE COVERS 1' 2000' DEPTH SOILS ELEV SYSTEM PROFILE 6 ror 3/4--1 1/2" 'v a .2 DEPTH L--- C tonvocted stone 0 N : .. •,» +- r 0 10004 Not to Scale u 123 4 e Effective Length - + - , ,s eaLT Loamy ' ' '.. Effective Vidth m ' INLET 0 inn--_�2*-min. Wet to outlet 6•,,'e, OUTLET : e � ' c 6 in of 3 +"-i t 2" `- TRIPOUT ALL AROUN SOIL ABSORPTION SYSTEM (SAS) INLe ,o• mr ae� a "�' i 1. Contractor(sLresponsible� r for ODigs�fe notification C C Sand / / S m _ On 10 1R 3/2 compacted stone L TO ELEV. 96.000 o ; 5• _7 A -- �__ s -r and protection of all underground utilities and pipes. 0--14" O/A 99Oo im CULT MODEL RECHARGER 330 (H-20 LOADING)/ SHDREY FRECASTE c5 = 2. The septic tank and distribution box shall be set 1 E . �'-0" min. 13411urn_fli_IetL - 99_-__--- $ o.lr... Lioua depth level on 6 of 3/4"-1 1/2" stone. Loamy (OR EQUIVALENT) 0?z Sand 3 stones) overul3"be clean sizen sand or grovel with no Not to Scale d 10 YR 5/6 , ,. :^ .,�.. I 4. This system is subject to inspection during installation NOTI� OVERALL HEIGHT OF INFILTRATOR IS 30 5" EFFECTIVE HEIGHT IS 24" 14"- 34" Be 96.00 �- Medium FOUNDATION 1Q.$' SEPTIC;TANK -� 7' - D-BOX f--1$' LEACHING FACILITY t0'-0 5 -B by Carmen E. Shay - Environmental Services, Inc. Sand - 5. The contractor shall instoll this system In accordance 2.5 Y 7/6 CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan c 92 70; and Local Regulations. -1 Note Remove sal dawn to N. 9600 & replace with Nate: Certification of Flt Material Required TYPICAL 1500 GALLON SEPTIC TANK 6. If, during installation the contractor encounters any IAed Course I ) clean coarse sand w/pert. rote less than or Before and After Placement by Seive Analyses soil conditions or site conditions that are different Sand or equal to 2 min./in. before & after placement Per 310 CMR 15 255(3) from those shown On the soil log or in our design 2.S Y 7/4 I = j NOT TO SCALE !al 8"-14'l" C' sa'oo (H- 1 0 LOADING) installation must host & immediate notification be r made to Carmen E- Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. fff - 8. Instoll Tuf-Tite gas baffles or equals on all outlet tee ends. I - - 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. - „ { 10. All solid piping, tees & fittings shall be 4" diameter Perc #1 N 37d 11 50 E Schedule 40 NSF PVC pipes with water tight joints. Depth to Pere: 34" to 52" f 00.06' Perc Rote=<2 min./inch 11. SITE and Surrounding Properties Within 150' ARE Groundwater Not Observed I No Observed ESHWT 1,68-- ADJUSTED ALL CONNECTED to Municipal Water. H2C Elev. = NoneCB D.H FND THE PROPERTY LINES ARE APPROXIMATE AND Test Hole I COMPILED FROM THE SURVEY PLAN GENERATED BY Nc. 2 _ BEARSE & <ELLOG, of HYANNIS, MA D PE � s01L- ELEV, 90 '`~ -_ ENTITLED " SUBDIVISION OF LOT C, BARNSTABLE, MA" - - -� 49 0 99 98 �- Loom - ------88 FROM - LCC - 10614-E y DATED A NOT ISNT2NDEt9 0 BE A SURVEY PLOT PLAN 10 YRn/2 / T AND SHOULD BE USED FOR NO PURPOSE OTHER THAN 0"- )/A 98 81 THE SEPTIC SYSTEM INSTALLATION. - - I ` Loomy 92 ` Sony i I ' 90 BUILD • SET BACK REQUIREMENTS' i �, Medium Send FRONT: 25 feet 25 Y 7/6 __` SIDES: 15 feet I 46"-8 G 92.98 94�� REAR: 10 feet Med-Course LOT #121 - 11 Sand ------ 2 5 Y 7,13 _ 9 2 81 4,i" -C. 7 98 - LV � W ASSESSORS tAAP - 249 LOT - #1-00 j ZONING RESIDENTIAL _ 18 .13, ---94 FLOOD ZONE C -_ THERE AR_ fJ0 WETLANDS LOCATED WITHIN A 200 RADIUS Per.. #1 T3 _ - __, Dep h.-to_p_err,,_48"_ OF THE SITED SEPTIC SYSTEM FOR �{95 DUNNS POND ROAD. In - Lo -�r Perc Rate .2 min./inch ( C - Y _ b e N) O S Groundwater t , F RDWELLING_ _ _ : T I II TH R �.f Y- I WI H N A NE E E 0 E __ No e_._ P 2QF.E 7 - E - ZO 9 � ,., t __ . R _L _ No Observed ES HINT 8- � __ a- _,_ _,_ ADJUSTED H2C Elev. = None 96 / _ TO BE RESTRICTED TO 2 BEDROOMS,W 0 ENHANCED ---- NITROGEN REMOVAL AND 3 BEDROOMS IF ENHANCED \1 NITROGEN REMOVAL IS INSTALLED AT A LATER DATE: I _` - - _ LOT # f f X _ ALL OUTLET PIPES FROM THE LEGEND 1 _ --_ p OISTRtBVTWN BOX SHALL BE 99.76 -98 '; SET LEVEL FOR AT LEAST 2 FT ,2• 'CONCRETE COVER KNOCKOUT$ 88X0 DENOTES PROPOSED ounET I 12• INLET SPOT GRADE LOT #12 CB D.H. 28,199 Souare Feet +/- 2 DENOTES EXISTING i FND 4" - SCH 40 Te 7s x 1 04.46 SPOT GRADE ,s PLAN SECTION CROSS-SECTION PL PROPERTY LINE JCo 3 HOLE DISTRIBUTION BOX -{��- PROPOSED CONTOUR I � 99.97 - NOT To SCALE 97- - - - - -97 EXISTING CONTOUR M ii oro Design Calculations ' �' DEEP TEST HOLE & PERCOLATION TEST LOCATION -34 100 Number of Bedrooms: 2 Equivalent to 220 Gal,/Doy (330 Gal /Day Min. per Title V) G---� FENCE _ PROPOSED 2 BEDROOM Garbage Grinder: No X -� Leaching Capacity Proposed. 330 Gal./Doy Minimum (Min.' Per Title V) 100.04 1 STORY DWELLING Septic Tank - 2 x 220 Go[ /Day = 440 USE 1,500 GAL. Septic Tank PRIVATE DRINKING WATER WELL TOF EL 101.50 SOIL ASSORPTICtJ AREA: Using percolation rote of <2 min./inch LOT # 122 FNSH FLR ELV=102.5 Bottom Area: 0.74 gal/sq ft. x 300 sq. ft. = 222 gallons REVISIONS BSMNT FL EL= 95-00 Sidewall Areo: 0.74 gal./sq. ft. x 148 sq. ft = 109.50 gallons Providing: 331.50 gallons 1 NO. DATE: DEFINITION t 10 5' 10 .1 6 1 ,r X Use: (3) HIGH CAPACITY CULTEC RECHARGER 330 CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, 100.02 (4' W x 6.25' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND 3 25' OF WASHED STONE ON THE ENDS. �1 00 I NEW 1500 gal.- Septic Tank� TEST HOLE fJp • ;. 1 'r 1 TEST HOLE #2 ELEV.= 100. I PR OPOSED 7 ' ELEV.= 99.98 I I (F .D R - 25' PREPARED 1 ? a RESERVE AREA FACE SEWAGE DISPOSAL SYSTEM Note: Remove soil down to el. 96.00 & replace with / L_ I o I Cr GILBER7 clean coarse sand w/per'c. rate less than or o T. FOUNDATION LOACAT I O N 100.10 I W or equal to 2 min./in. b4fore & after placement o I o I No OF (5 FOOT STRIPOUT ALL AROUND AS SHOWN) 'DESIGN " q, ` ( INSTALLATION AN ER M 99. 1 M R . TAT E I S E N S TA DT �,,yaG 9 5 D U N N S POND ROAD THE SYSTEM 1N N WRITING 9b.95 f00:00' v H YA N N I S, M A ACCORD TO PLAN ALLE N 35o! 17 50" E c/o CRAIGUILLE REALTY ` � . A�4 PREPARED BY: / EDGE OF PAVEMENT - - - - - - - - - - - - EDGE O F PAVEMENT - - - - - - - - - - -_ - - � - - - - - - - - - - - - P . O . BOX 2 1 'r BENCH MARK- HYANNISPORT, MA 02672 F : f �; C"ARNEX E. ,BHA Y I PROJECT CONCRETE BOUND D UNN.S 0-2VD J? 014Dt =! I ENVIRONMENTAL SERVICES, INC 4. ' . ELEV- - 100.00 (Assumed) ! 34 THATCHERS LANE 0 �'0 40 I (40 FOOT RIGHT DF WAY) `50 � J 8) - 7 7 5 - 3 7 q EAST FALMOUTH, MA 02536 TEL/FAX 508-548-0796 SCALE: 1 "=20' $ SCALE: 1 "=20' DRAWN BY: CES DATE: APRIL 29, 2002 LOT #25 LOT #26 PROJECT#SD-312 FILENAME: SD312PP.DWG SHEET 1 OF 1