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0024 JENNIES PATH - Health
24 Jennies Path Hyannis - _ A=250- I B i i 0 ,, i TOWN OF BARNSTABLE ,LOCATION ;Z 50-vAAe%. _c ytq SEWAGE# 161 C, VILLAGE ASSESSOR'S MAP&PARCEL ::INSTALLER'S NAME&'PHONE NO ��Lo A SEPTIC TANK CAPACITY e t LEACHING FACILITY:(type) (size) -J��_!S- it 2 NO.OF BEDROOMS OWNER PERMIT DATE: ^�. I G COMPLIANCE DATE:' Separation Distance Between the: e C4 tkM e cs- Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ( '(C 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 BX J CC'7_1\D 4 r - ��w�� _ •.�_. r_. - t-.+�. , .. �J.w.4' . .��_1.j.X.h. -Vrs'�•^•^��.^-^1-�..tiA'V+O'.^"�'�'�.',^'iwgV,�ria^aT:"rN4'.tir`�-..�....�ry-�n.,+.-�.ri�wyy. N Fee v v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppfication for his osal *pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2 Ll fP,j..,1 eg Fc>-a V9 "YcaAA Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 25 7— A) — )/ G V C— Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. N NY P d r l/✓/G Type of Building: Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building l e5ldP,I�/C/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3-5 gpd Design flow provided 3M -7 gpd Plan Date //2 /j Number of sheets 7— Revision Date Title j Size of Septic Tank Type of S.A.S. 5-00 QL,�/GU-�/ if e.•h y/S Description of Soil Nature of Repairs or Alterations(Answer when applicable) I N9�I-1 I) C—A 9 r,A) rJ- �( ��9Q rL IS-0O Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Oq Permit No. Date Issued d Fee �4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes *n PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS 4pfication for Mis oral . stun Construction permit Application for a Permit to Construct( ) Repair( Upgrade'( ) Abandon( ) •❑Complete System ❑Individual Components y Location Address or Lot Nb: ).Ll fp j..,,ss M.} `o Owner's Name,Address,and'Tel.No. Assessor's Map/Parcel 2 So - 1 15- Installer''s�Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. � 3( Sa F3-y Q0- 15-9 IV Type of Building: Dwelling No.of Bedrooms Lot Size ��Q'3�/ sq.ft. Garbage Grinder( ) Other Type of Building 1( 51de'-f1< l No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3S C gpd Design flow+provided 31X , 7 gpd Plan Date //q /� Number of sheets Z- Revision Date Title ,i Size of Septic Tank �_yiyt Type of S.A.S. 5-oo GGIIG'� KA6. 1 e15 Description of Soil i i i Nature of Repairs or Alterations(Answer when applicable) i�)�1 c.�I ��r�) - �JpX C-0C) 2 S'00 1)r,n3 r Vlcx^. pry L.,j o-1n L4 ' 5I-0n.)T Date last inspected: Agreement: i i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si a Date 8 - a Cf Application Approved by Date C 1", l0 Application Disapproved by Date for the following reasons i Permit No. �b ` Date Issued 10 Ip --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance , THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed-( ) Repaired( I) Upgraded( ) Abandoned( )by, S 4 i at Z 41-/ S /,J^J t has been constructed in accordance C h - with the provisions of Title 5 and the for Disposal System Construction Permit N.2;Lt � dated F l01 J� L Installer 1�(nw,y 'S:7NC Designer_ p/ rvC uzo,( C i #bedrooms 3 Approved design flow ' © gpd The issuance of.W permit shall not be construed as a guarantee that the system will nctio designed. Date Inspector (1 i -------------------------------------------'----------------------------------------------------------=---------------------------------- No. 09/6 Fee /O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposal &pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( I`�` 1. Upgrade( ) Abandon( ) System located at-2- and as described in the above Application for Disposal System.Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thisCb . Date x I� l �p Approve Town of Barnstable THE Regulatory Services LRichard V. Scali, Interim.Director BARNWASIX, HAM Public Health Division 0,39. Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 6 Sewage Permit# ;201&-30 Assesso C s M.'a P\Pa reel Designer: Cn 4n4e_6(x.% lk,( Installer: Address: VJ CM Address: lav—y_ i K A- We.- On was issued a.pernlit to Install a f(date (Installer) septic system at: t" \ C-) Q S Vim , Hy q based on a design dw ran by oFr � (address) V,, . Lj k� dated (desIgner) pC I certify that the septic system referenced above was installed. substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution. box, and/or septic taAk. Strip OUT (if required) was inspected and the soils were found satisfactory. .1 certify that the septic system referenced above was installed with major chana i es (I.e. greater. than 10' lateral relocation of the SAS or any vertical.relocation of any component of the septic system) but In accordance with State & Local Regulations. Plan.revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. .1 Certify that, the system referenced above was constructed in coinj)han.ce with. the verins of the AA approval letters (if applicable) OA Z"I PETER T. McENTEE s 1.6r`s.Signature CML No. 35109 (Designer's Signature) (Affix Des lorl Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WI.I.J., NOT RE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THEBARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic"1Des;,ner Cervi fication Farm Rev 8-14-1 i.doc C�R*1zen Web Request Page 1 of 1 BA7l13TAULP. Citizen Request Management - Internal Use 1639: �6�0 11� Request ID: 48804 Created: 4/8/2014 1:13:23 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: No Category: Chapter 54-5 : Rubbish and Garbage E.C. Date: 4/23/2014 Created By: Crocker,Sharon Citations: Health Office Time Worked: 0 Response Time: 0 Requestor Details: Email: Request Location: 24 JENNIES PATH Hyannis, Ma 02601 Parcel Number: Map: 250 Block: 115 Lot: 000 Request: Caller said there is constantly trash and junk in the yard(had a complaint in March- resolved)There is also a mattress in the yard this time as well. People are home now. Please follow-up with caller. Request Work History: Internal Note History: Entered on 4/8/2014 1:13:23 PM by Crocker, Sharon Councillor Precinct2-Eric S. Please call cell 781�859-9103 with status System entry on 4/8/2014 1:11b PM: Assigned to Parziale,Jim System entry on 4/8/2014 3:27:56 PM: Assigned to O'Connell,Timothy S http://issgl2/intemalwrs/WRequestPrint.aspx?ID=48804 4/9/2014 14ealth Master Detail Page 1 of 1 u ,H6 lth'Master Logged In As: TOWN\oconnelt Health Master Detail Wednesday,April 9 2014 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 250-115 Location: 24 JENNIES PATH, HYANNIS Owner: NGUYEN, THANG D Business name: Business phone: Rental property: r Deed restricted: 0 Number of bedrooms Contaminant released: r Fuel storage tank permit: c Save Parcel Changes �� Return to Lookup Parcel Info Parcel ID: 250-115 Developer lot:LOT 20 Location:24 JENNIES PATH Primary frontage: 156 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Town sewer exists at this address: No Road index:0799 Asbuilt Septic Scan: 250115_1 Interactive map: ; Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:SPLIT Owner Info Owner: NGUYEN, THANG D Co-Owner: Streetl:24 JENNIES PATH Street2: City:HYANNIS State:MA Zip: 02601 Country: Deed date:6/11/2012 Deed reference:26401/283 Land Info Acres: 0.39 Use: Single Fam MDL-01 Zoning:RC-1 Neighborhood: 0105 Topography:Level Road:Paved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms 1 1983 332 1708 3 Bedroom 2 Full Buildings value:$124,500.00 Extra features: $37,300.00 Land value: $106,700.00 http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=250115 4/9/2014 A 1 MM DD yyyy ❑Delete NFIRS -1 �92t2 03 27 014 (_� L14-00014131 1 000 ®'FD Incident Date ❑Change Basic ID State * * * Station Incident Number * Exposure * []No Activity Check this box to Indicate that the address for this incident is provided on the Wildland Fire Census Tract 10 ❑ aLocation* Module In Section B "Alternative Location Specification". Use only for Wildland fires. I ®Street address 24 U (JENNIES PA �� ❑Intersection Number/Milepost Prefix Street or Highway Street Type Suffix ❑In front of L� ❑Rear of JHYANNIS ( U 102601 1_1J Apt./Suite/Room City State Zip Code ❑Adjacent to ❑Directions Cross street or directions, as avPliCable C Incident Type * El Date & Times Midnight is 0000 E2 Shift & Alarms ill (Building fire I Check boxes if Month Day Year Hr Min Sec Local option dates are the :ncident Type same as Alarm ALARM always required 1 011 1 I Aid Given or Received* Date. Alarm * 1� 27 2014 113:59:32 1—1 1_1 J D Shift or Alarms District Platoon 1 ❑Mutual aid received ARRIVAL required, unless canceled or did not arrive ® Arrival * L 03 27 1 20141 114:04:35 E3 2 [:]Automatic aid reCV. Their FDID Their 3 ❑Mutual aid gig State CONTROLLED Optional, Except for wildland fires Special Studies 4 ❑Automatic aid given I ❑Controlled " " L E I Local Option 5 ❑Other aid given Their LAST UNIT CLEARED,-required except for wildland fires II I Incident Number Last Unit � �� �'] Special Special N %None El Cleared 1 _31 l -7 1 1 20141 15� '27.48 d Study ID# Study Value Fi' Actions Taken* GI Resources * G2 Estimated Dollar Losses & Value ❑ Check this box and skip this LOSSES: Required for all fires if known. Optional section if an Apparatus or for non fires. 11 (Extinguishment by fire I Personnel form is used. Non Primary Action Taken (1) Apparatus Personnel Property $1 1 , 1 020 , 000 ❑ Suppression 0003 0013 Contents $1 , 005 000 1,2 (Salvage & overhaul � ❑ Additional Action Taken (2) EMS L� � � PRE—INCIDENT VALUE: Optional 86 JInvestigate other ( 00041 0004 Property $1 , 000 000 ❑ Additional Action Taken (3) ❑ Check box if resource counts include aid received resources. Contents $�� , 000 , 000 ❑ Completed Modules Hl*Casualties®None 193 Hazardous Materials Release I Mixed Use Property 23Fire-2 Deaths Injuries N E]None NN Not Mixed ❑Structure-3 Fire I 1 I I ' 1 Natural Gas: nI—leak, no ev.natin.or B..K t setiena 10 Assembly use ❑service u 20 Education use ❑Civil Fire Cas.-4 2 ❑Propane gas: <21 lb. tank (as in b—Bep grill) 33 Medical use []Fire Serv. Cas.-5 CivilianL�� L___J 3 ❑Gasoline: vehicle feel tank or portable a®• 40 Residential use ❑EMS-6 4 ❑Kerosene: rani i 51 Row of stores H2 Detector / bo=niag egnipaene or portable.terage 53 Enclosed mall ❑HazMat-7 Required for Confined Fires. 5 []Diesel fuel/fuel oil:vehime feel tank or portable 58 Bus. & Residential ❑wildland Fire-8 1 ❑ Office use[]Detector alerted occupants 6 Household solvents: have/office spill, ..,_...�nbly 59 %Apparatus-9 7 []Motor oil: ream engine or portable contain, 60 Industrial use Milita %Personnel-10 2E]Detector did not alert them o ❑paint: fr®pains oaaa totaling<ss gallons 65 Farm us use ❑Arson-11 UE]Unknown 0 ❑Other: special assx t--tines,regaixed ne-pill>55g-l-, 00 nother mixed use plea ete the BaxT(at fnnn J Property Use* Structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 41999 17or 2-family dwelling 599 ❑Business office 162 ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant 213 ❑Elementary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) . 311 ❑Care facility for the aged 4 64❑Dormitory/barracks 882 []Non-residential parking garage 331 ❑Hospital 519❑Food and beverage.sales 891 ❑warehouse Outside 936 El vacant lot 981 ❑Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 []Crops or orchard 946 ❑Lake, river, stream 669 Forest (timberland) 951 Railroad right of way Lookup and enter a Property Use code only if ❑ ❑ g y you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 ❑other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling NFIRS-1 Revision 03 1i 99 L Iyannis Fire 01922 03/27/2014 14-0001413 zc oA/Entity InvolvedOption Business name (if a licable)PP Area Code Phone Number". lAdrian �J ISiguenciaEk Ths Box if Mr.,Ms.,.Mrs. First Name MI Last Name e address as Suffix ncident location. I I �dupl hen skip the three 24 �J (JENNIES' PA I�J �J icate address Number Prefix Street or Highway Street Type ines. Suffix INGUYEN, VINH T j JHYANNIS Post Office Box Apt./Suite/Room City IMA 1 102601 -1 State Zip'Code More people involved? Check this box and attach Supplemental Forms (NFIRS—iS) as necessary a Same as person involved? ` ►2 owner Then check this box and skip I I 508 - 360 - 4338 The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number L� IThang ID J INguyen I Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as .J incident location. 124 IJENNIES PA Then skip the three duplicate address Number Prefix Street or Highway Street Type Suffix lines. INGUYEN, VINH T II j JHYANNIS - Post Office Box Apt./Suite/Room City IMA 1 0 2 6� 01 State Zip Code Remarks Local Option �aller Name BPD gad 2014/03/27 14:04:35 - 804 AT EVENT MANNING IS 0 gad 2014/03/27 14:04:48 - 826 AT EVENT MANNING IS 0 gad 2014/03/27 14:06:33 - 802 AT EVENT MANNING IS 1 gad 2014/03/27 14:07:07 - 829 AT EVENT MANNING IS 0 gad 2014/03/27 14:12:36 - 823 AT EVENT MANNING IS 0 gad 2014/03/27 14:38:51 - 806 AT EVENT MANNING IS 1 gad ; 2014/03/27 14:20:48 3PD REPORTS POSSIBLE BASEMENT FIRE. BPD REPORTS STRONG LANG. BARRIER gad ; 2014/03/27 14:22:32 3PD REPORTS UNIT ON LOCATION AND REPORTS SMOKE COMING FROM.THE GARAGE. gad ; 2014/03/27 14:24:04 326 REPORTS SMOKE CONDITION IN THE SPACE. ABOVE THE GARAGE, 826 ADVANCING A 1 3/4 HAND LINE @ 14:06. gad ; 2014/03/27 14:33:26 'OMMAND REPORTS 1 1/2 STORY WOOD FRAME RESIDENTIAL WITH A 1 1/2 STORY ATTACHED GARAGE WITH LIVING QUARTERS ABOVE GARAGE. 826 ADVANCING ONE HAND LINE. gad ; 2014/03/27 14:34:03 :OMMAND REQ. BUILDING AND ELECTRICAL INSPECTORS @ 14:24. Authorization 1198501 IMelanson, Dean L. IDEP/EMT 031 27 1 2014 Officer in charge ID Signature Position or rank Assignment Month Day Year ox`if 199002 ILanman, Thomas H. - ILT/EMT-NJP I 1 1031 U 2014 ame Position or rank Assignment Month Day Year s Officer Member making report ID Signature - n charge. annis Fire 01922 03/27/2019 14-0001913 MM DD YYYY 4.t 929 U L 3J 27 201-4 14-0001413- 000 ca®plete r� * State* Incident Date * Station Incident Number * Exposure Narrative - `rrative: �aller Name BPD .cad 2014/03/27 14:04:35 - 804 AT EVENT MANNING IS 0 cad 2014/03/27 14:04:48 - 826 AT EVENT MANNING IS 0 cad 2014/03/27 14:06:33 - 802 AT EVENT MANNING IS 1 cad 2014/03/27 14:07':07 - 829 AT EVENT MANNING IS 0 cad 2014/03/27 14:12:36 - 823 AT EVENT MANNING IS 0 cad 2014/03/27 14:38:51 - 806 AT EVENT MANNING IS 1 cad 2014/03/27 14:20:48 BPD REPORTS POSSIBLE BASEMENT FIRE. BPD REPORTS STRONG LANG. BARRIER. cad ; 2014/03/27 14:22:32 BPD REPORTS UNIT ON LOCATION .AND REPORTS SMOKE COMING FROM THE. GARAGE. cad ; 2014/03/27 14:24:04 826 REPORTS SMOKE CONDITION IN THE SPACE ABOVE THE GARAGE, 826 ADVANCING A 1 3/4 HAND LINE @ 14:06. cad ; 2014/03/27 14:33:26 COMMAND REPORTS 1 1/2 STORY WOOD FRAME RESIDENTIAL WITH A 1 1/2 STORY ATTACHED GARAGE WITH LIVING QUARTERS ABOVE GARAGE. 826 ADVANCING ONE HAND LINE. cad ; 2014/03/27 14:34:03 COMMAND REQ. BUILDING AND ELECTRICAL INSPECTORS @ 14:24. cad ; 2014/03/27 14:38:04 806 REPORTS BUILDING INSPECTOR ON LOC. @ 14:36. cad ; 2014/.03/27 14:38:41 806 REPORTS ELECTRICAL INSPECTOR ON LOC. @ 14:38. cad ;. 2014/03/27 15:14:15 COMMAND REPORTS COMPANIES ARE PICKING UP @ 15:14. cad ; 2014/03/27 15:26:53 802 REPORTS THE PROPERTY IS TURNED OVER TO THE HOMEOWNER, 802 IS BIC @. 15:25. E-826 and T-829 responded to the report of a basement fire at the listed address. Call originated from a BPD ring down, they reported a substantial language barrier with the reporting party with the initial 911 call. C-802 and C-804 also responded on the first alarm assignment. Upon arrival there was light smoke showing from the rear of the .building, BPD officers on scene report it is coming from the room above the garage. The garage is listed as 24'x24 ' and is attached to the main house—The garage door was open showing stairs at the rear of the garage to access the room above. Investigation showed smoke coming from spaces around the door at the top of the stairs. E-826 crew advanced a 1 3/4" hand line into the garage. the hose, was charged and advanced up the stairs. The door was locked. It was checked for excessive heat and then forced open with hand tools.. iyannis Fire 01922 03/27/2014 14-0001413 I MM DD YYYY T '? IA. 131 27 2014 �� ( 14-0001413 000 complete ✓�'. State�, Incident Date * Narrative Station Incident Number Exposure •rative: sibility was poor, all members were in full turnouts. with scba in place and operating. The an line was, advanced g nced into the space. Fire was noted to the right of the door, the hand line was put into operation, knocking down the main body of fire. Prior to opening the nozzle the window on side A of the garage was vented by T-829 personnel. A second window was located at the top of the stairs on side C, this window was open prior to beginning fire attack. As visibility improved. it was noted that the room above the garage appeared to be set up as an apartment. There were. two beds, a tv, and other furnishings. The fire had originated in a closet built into and extending from the side B interior wall at the B/C corner. The area was overhauled lightly as not to disturb the area of origin and the same area wetted down. Ventilation was established with the electric fan from E-826, power supply being E-826. Due to the apparent illegal nature of the apartment , Town of Barnstabie building and• electrical inspectors were requested to the scene. Overhaul operations were halted so that members from Fire Prevention could investigate for a cause of the fire. Fire. Prevention's investigation concluded that the cause was due to the electric cable that Eed the two outlets in this room. It appears that the cable was illegally installed and that :here was a break in it's insulation that over time caused the wires to overheat and/or come into contact with. each other causing the fire. The fire traveled up and out of the electric )utlet in the closet igniting the contents with the generated heat and flame spreading to the lain room and its contents as well. . portable oil filled electric heater was plugged into the electric outlet in the closet. 'his unit appeared to be the only source of heat in the room. The heater was found in the on )osition with the temperature dial at the #8 setting. The unit is a Lasko air heater, model .700, with a serial number of 7766003259. The information tag lists the power requirements as 2.5 amps and 1500 watts.. It is UL approved. urther investigation of the fire room indicated that attempts to extinguish the fire prior o the call to the FD had been made. A coating of what appeared to be dry chemical xtinguishing agent was noticed in the fire room. A discharged fire extinguisher was found at he base of the stairs leading up to the apartment. I I he overhaul of the fire room was completed following the investigations by Fire Prevention nd the Electrical Inspector. This was accomplished by the crews of E-826 and T-829. E-823 ` as released from the scene by C-802 at the time noted. Materials removed from the fire room are wet down with a forestry line from E-8.26. 4 3mpanies were placed back in service and stood by as Fire Prevention finished their iterviews. A. final check of the entire property was performed. I reported to C-802 that sere were no operating smoke detectors in the main house. There was none in the fire room as s11- C-802 reported that he as well as fire prevention were aware of this situation. firing operations it was noted that a length of 1 3/4 hose had a pinhole leak in it. The )se was taken out of service and replaced upon return to the station. Hose length 310-11 (1 '4") was placed at the work bench and tagged. to property was released to the owner by C-802 at the time noted. Companies were released i :d returned to quarters as noted. Thomas .H. Lanman, III its Fire 01922 03/27/201q �4-0001413 Div,ision of Professional Licensure: License Search Page 1 of 2 The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home > Division,of Professional Licensure > ONLINE ..................................................................................._:............................................................................................................................................................................................................................... SERVICES Check A Professional License .Check a License 1 Locate a Licensed By the Division of Professional Licensure Professional Online Address ' Change SEARCH CRITERIA Contact the Profession:Manicuring Shop Agency Business City:hyannis NEW SEARCH More... LIC. LIC. BUSINESS BOARD LIC. TYPE NUMBER BUSINESS NAME CITY/STATE LIC. 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STATUS Cosmetology Shopcuring 68892 LEE NAILS HYANNIS,MA Current\ f Manicuring Cosmetology Shop 58281 NAIL PLUS SALON HYANNIS,MA Expired Cosmetology Shopcuring 45191 POLISH TEN HYANNIS,MA Expired Cosmetology Shopcuring 54625 SASSY NAILS HYANNIS,MA Expired Cosmetology Shopcuring 49993 SIGNATURE NAILS HYANNIS,MA Expired Cosmetology Manicuring Shop 49714 T C NAILS INC HYANNIS,MA Expired Cosmetology ManicuringShop 61124 THE NAIL SHOPPE HYANNIS,MA Current Cosmetology M Manicuring 47659 THE NAIL STUDIO HYANNIS,MA Expired Cosmetology Mh icuring 65855 THE SPA AT SEA STREET HYANNIS,MA Current .3 Cosmetology Shopcuring 49443 THE ULTIMATE NAIL HYANNIS,MA Expired '., ManicuringJ Cosmetology Shop 52645 WOMANS WORKOUT CO HYANNIS,MA Expired '+ Your search has resulted in 30 licenses The page above has been generated by the Division of Professional Licensure web r server on Wednesday,April 09, 2014 at 1:54:28 PM. r j ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us t http://Iicense.reg.state.ma.u8/public/pubLicRange.asp?profession=Manicuring_Shop&busna... 4/9/2014 r • of� Town of Barnstable P,J o Department of Regulatory Services aAusrutA : Public Health Division Date_ ZZ. t'G �C 16J9.. `e� 200 Main Street,Hyannis MA 02601 Date Scheduled Time 4 X n�_'_ I Fee Pc1._P! U CJ_ Soil Suitability Assessment for Sew, e I I so osal Performed By: 4-Vk L Witnessed By:_ - I__ / rf[ LOCATION& GENERAL INFORMATION Owners Name Location Address 2 t� 7h a v,`, U'C✓►N� �� j� f—•� Address 2 Ter Ji ✓1 't, dC', Assessor's Map/Parcel; O 4 `'r Z JC/ I2.S" 'f f S^ Engineer's Name vt,e-��� tie,► � �� � NEW CONSTRUCTION REPAIR _�_ Telephone# �� ( 7 7 S (-1 Land Use J22S i,-L n f i cx l � t Slope:r(9'0) Z-- � Surface Stones wtlo't---C Distances from: Open Water Body lj A ft Possible Wet Areeaa, e .L ft Drinking Water Well _21 L1 ft Drainage Way `J/p ft Property Line y /.—ft Other {t SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands fn proximity to holes) 7 ( .T T V—Z t y 9i-,v-e 1 '3��t,,JN i -S Pry--t-H Parent material(geologic) ul-el tS'l Depth to Bedrock. v Q 't�s _ Depth to Groundwater: Standing Water in Hole: /�U'�. Weeping from Pit FAce &- r'l—e Estimated Seasonal High Groundwater 3 . DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to soil mottles: Depth to weeping from side of obs.hole. In, Groundwater Adjustment—_ft. Index Well# Reading Date: Index Well level,_.;,,_,,,o,r„ Adj,(Actor— Adj.Croundwater bevel PERCOLATION TEST Data. Time— Observation Hole# 12e f ric Time at 9" „r ....,.-,ram Depth of Perc l Time at 6' Start Pre-soak Time @ Z /yl;dkidl Time(9"•6") End Pre-soak 5 0" (S i✓, ( �—Z Rate Min,/Inch. �l Site Suitability Assessment. Site Passed k Site Failed: Additional Testing Needed(Y/N)_ Original: Public Health Division Obserwftion Hole Data To Be Completed on Back---•-------- ***If percolation test is to be conducted within 100' of wetland,you must first:notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTfWERCFORM.DOC .DEEP.OBSERVATION HOLD;LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in°.) (USDA) .(Munsell) Mottling '(Structure,Stones;Boulders. p n istengy ,'Gravel) _� ► v �� S 0Y2yl -7 el eel C-�Cl 1"d -7-1 s'� V(, �'DEEP OBSERVATION HOLI;LOG Hole#_`Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) ct C-z- t..J 2. 5`r 6/4, ]DEEP OBSERVATION HOLE:LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Comistency,%Gravel) ._ DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color boll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, nV.o Flo_ od Insurance Rate Maw' Above 500 year flood boundary No_ Yes , Within 500 year boundary No Yes,:�,�. Within l00 year flood boundary No Denth of Naturally Occurring Pervious Material Does at least four feat 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 pervious material? ..,..�...� Certifica¢ion I certify that on 1 1 �'l ate)I have passed the soil evaluator examination approved by the Department of lInvironmental Protection and that the above analysis was performed by me consistent with the requited training,expertise and experience described in 10 CMR 15.017. Signature Date Q:�SBM ICTERC.NORM.DOC DATE: 12/.�/98 PROPERTY ADDRESS: ,•24 ;terrnies' Path' Hyannis ,Mass . 02601 6 On the above date, .I Inspected the septic system at�khe atZL'q1,7.[ejV,;5qdreas. This system conalsts of the following: . . DEC 9 I998 1 . 1-1000 gallon septic tank. TowN OF HEALTHADEPTABLE 2 . 1-Distribution box. 3. 1-1000 gallon precast . leaching pit . Based bn my Intcractlon, I certify the following conditions 4 . This is a title Five Septic System:" *'(''7F8• Code ) ' S. The septic .system is ih. prope'r working order . at the present time . , 6. Pumped septic tank . Heavy solids and scum layers built up in the septic tank. 7. The leaching pit is emptyN-at• the present time-. SIGNATURE: Name J P _M_acomber Company, P_Maco�ber. & � on•_ ric , ------------ Addreas;_,g,�_66-----,�a__ _ _Cente�rvi1Le �Agj.;-Q2632 ► ' Phone: ---5Q.8..I.Z.S- 3338------- '• I THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER *& SON; INC. T+nka-C•upooh,Le&chflelda . Pump+d & Instilled ' Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5-333-8 775-6412 r I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON. MA 02108 617.292.5500 i WILLIAht F.VELD TRUDY COX•E Govcmor Secrcw ARGEO PAUL CELLUCCI DAVID B.STRUM Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissions. PART A CERTIFICATION Property Address:E d wa r d & Sheila Macomber Address of Owner:B o x 117 6 Date of Inspection: 12/2/9 8 (If different) M a r s t o n s M ills ,Mass . Name of Inspector: Joseph P.Macomber Jr . 02648 I am a DEP a proved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J-F.M a c o m b e r & Son Inc . Mailing Address: Box 66 Centerville ,Mass . 02632 Telephone Number: 5 0 8—7 7 5—3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fail Inspector's Signature: dL Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: p"T rapt-i G Z;Qpk Heavy Gcum and snl i dig 1 ayprc warp p r P Q P n t BI 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. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or'exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web:'http:ltwww.mgnet.state.m.us/dep Printed on Recycled Paper I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Jennies Path Hyannis ,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/98 B) SYSTEM CONDITIONALLY PASSES (continued) 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 AD The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: A1. Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) 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: Q1 Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT 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 or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. �p 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 we11, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance A/ _(approximation not valid). 3) OTHER dO (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Jennies Path Hyannis -,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/98 " D) SYSTEM FAILS: You must indicate ei;+-.er "Yes" or"No" as to each of the following: /1/6 1 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 correct the failure. Yes Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. YDischarge or ponding of.effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Pjr )-s Liquid depth in ce&peol 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 C. 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. Any portion of a cesspool or privy is within a Zone I of a public well. ZAny 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 1.00 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 analysis 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: I . 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 A 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) 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. (revised 04/25/97) Page 3 of 10 1 SUBSURFACE SEWAGE DISPOSAL 51YSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Jennies Path Hyannis ,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/98 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 N/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 for signs of breakout. _ All system components,Xluding_the 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 djfferent from owner) were provided with information on the proper maintenance of Sub-Surface 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)) (revis*d 04/25/97) P&ge 4 of 10 I I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION Property Address: 24 Jennies •Path Hyannis ,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/9 8 FLOW CONDITIONS RESIDENTIAL: Design .p�Jbedroorn for S.A.S. Number of bedrooms: Number of current residents: Garbage grinder (yes or no):A)b Laundry connected to system (yes or no))b Seasonal use (yes or no):A.AD Water meter readings, if available (last two (2) year usage (gpd): �� /�•J7,/7Y)/f�UsU� 1° Sump Pump (yes or no): Last date of occupancy:_ COMMERCIAUINDUSTRIAL: ,I� Type of establishment: Design flow: AM allons/day Grease trap present: (yes or no)A/ Industrial Waste Holding Tank present: (yes or no)�[/ Non sanitary waste discharged to the Title 5 system: (yes or no).&A Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of formation: IJ� 19- 96 )r>e4l lt�t/T �,l•�•vr v s cctrll, m.�s ' System pumped as part of inspection: (yes or no)_ If yes, volume pumped; &6 allons �+ Reason for pumping: C�Lsa� So,L%Js ,Goyim TYPE OF�SYSTEM Septic tank/distribution box/soil absorption system A)d Single cesspool J _dam Overflow cesspool .06_ Privy V _Shared system (yes or no) (if yes, attach previous inspection records, if any) AM VA Technology etc Copy of up to date contract? Other APPR (MATE of all components, ate instaIV (if known) and source of information: � yl"/i�lGgrf�J�N - Sewage odors detected when arriving at the site: (yes or no)AY) (revised 041/=5/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Jennies Path Hyannis ,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/9 8 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: _cast iron Z40 PVC_other (explain) Distance from pfjvate water supply well or suction line VY- Diameter �„ Comments: (condition of joints, venting, evidence of leakage, etc.) Joints appear tight . No evidence of leaka_gP . System is vented through the hortGa want _ SEPTIC TANK: 'i'Q�i� 7 (locate on site plan) X Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: fia y GC//GQJ ✓� Sludge depth: Distance from top o sludge to bonom.of outlet tee or baffle:_ Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bono of outle t 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.) P u m n -tank every 2-3 yea r-, . :T n}e t & outlet tee-, a r e i n i 1 nrp Thp zpi ti r t7.gV i --tructtiraJ cnilurl T-nuk Sh0.1JS n0 s€ens of leakage . GREASE TRAP:A'�Pj/trL (locate-on site plan) Depth below grade: Material of construction:'E1concrete4L4Jmetal,,#0 F iberglass-V4 Polyethylened.,Vother(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: ' t 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 . . i (revised 04/25/97) Pay• 4 of 10 I SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address: 24 Jennies Path Hyannis ,Mass. Owner: Edward & Sheila Macomber Date of Inspection: 12/2/98 TIGHT OR HOLDING TANK (Tank must be pumped prior to, or at time,of inspection) (locate on site plan) Depth below grade:,,Ag Material of construction:aconcreteotimetalel!'AFiberglass*,IpolyethyleneVAother(explain) A/y.% A14 Dimensions: 4/o4 Capaciry: ilk gallons Design flow: dd gallons/day Alarm level: Alarm iinn working order 1�4Yes;,J/ No Date of previous pumping: & _ Comments: T (condition of inlet tee, condition of alarm and float switches, etc.) Tight or holding tanks are not present Y DISTRIBUTION BOX: (locate on she plan) Depth of liquid level above outlet invert:' Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) Distribution. box has one lateral ; No evidence of soilds carry over_ No pvidpnrp of 1pakagp into or niit of thedistribution box PUMP CHAMBER:1l&f— (locate on site plan) Pumps in working order: (Yes or No) � Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) Pump chamber is not present . (revised 04/25/97) P&g• 7 of 10 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'C SYSTEM INFORMATION (continued) Property Address:24 Jennies Path Hyannis ,Mass . Owner: Edward & Sheila Macomber Date of Inspection: 12/2/98 n SOIL ABSORPTION SYSTEM (SAS):-goo 9/00, (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: leaching chambers, number: leaching galleries, number._ leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Loamy sand to boney soil to medium fine sand : No signs of hydraulir fnilure or ponding - VPgPtatinn is normal _ CESSPOOLS:&/ante. (locate on site plan) Number and configuration: Depth-(op of liquid to inlet invert: AA Depth of solids layer: AA Depth of scum layer: AA Dimensions of cesspool: A)A Materials of construction: Indication of groundwater: 71J inflow (cesspool must be pumped as part of inspection) ('essnoo1 s n r P not nrpspnt Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Cesspools are not present . PRIVY:L .dvG (locate on site plan) Materials of construction: Dimensions: Depth of solids:.A4,4 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Privy is not present . - (revised 04/7S/97) Page a of 10 i SUBSURFACE SEwA.G( OISPOSAI SYSTEM-INSPECTION fORM 'PART C SYSTEM INfORMATION (conIInvcd) Pfoprnr Aeefel1: 24 Jennies Path Iiyannis ,Mass . Edward & Sheila' Macomber Oflf oFlnlpfcdonf 12/2/98 I SzETCM OF SEW�IGE 01SPOSAU SYSTEM: t I nd mark or benchmarks incivdc ties Io it least two permanent (clefcnce s tocsu III welts within 100' (l001c when public wrier svpply comes'lnto hovle) 5 i C Q�1 S tAn;e,5' 'Pck. a _.._ lannto 1' 1 If.rl..4 01/ M I) ►gyp• ./ •( 10 . SUBSURFACE SEWAGE DISPC �,'.l SYSTEM INSPECTION FORM r.., C SYSTEM INFOI:�.',, JION (continued) Property Address: 24 Jennies Path Hyannis ,Mass. Owner: Edward & Sheila Macomber Date of Inspection: 12/2/9 8 Depth to Groundwater,*� Feet Please indicate all the methods used to determine High Groundwater Elevation: O'btairied from Design Plans on record __,4 /Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps _(/ Check pumping records /Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) Used Water Contours Map . Gahrety & Miller Model 12/16/94 Pig IQot 10 (revised 04/25/97) .•r.n.-..-w r�.-.•.r...►�..vv.n+.--+....wwn.wn�.•...-..►i....�.wn w..��u�.�-.�w vv. .�.-..r.--.:...:--..n,..-•� TOWN OF Barns _abl P BOARD OF HEALTH -^^ •t '-.,'�-SUQSUItFACR 9EHACF�f)I DISPOSAL INSPECTION FORM - PART D •- CERTIFICATION &_ _ I .-TYPE OR PRINT CLEARLY- . PROPERTY INSPECTED STREET ADDRESS 24 Jennies Path Hyannis ,Mass . ASSESSORS MAP, BLOCK AND PARCEL OWNER' s NAME Edward & Sheila Macomber PART D - CERTIFICATION NAME OF INSPECTOR _Joseph P.MAcomber Jr . i COMPANY NAME J.P.Macomber & SoCInc . COMPANY ADDRESS Box 66 Center.ville ,Mass . 02632 Street Town or City Stat• ZIP COMPANY TELEPHONE ( 508 ) 775- 3338 FAX ( 508 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaj system at this address and that the information reported 1s,,t•r(Ie , accurate , and complete as of the time of .inspection . The iff�ps ction was performed and any recolnmendatlons regarding upgrade ) maintenance , .a.nd repair are consistent with my training and experience in- the proper funct-•ion and maintenance of on- site sewage disposal systems . ' u i Ili:'�• yChneckK,,ne :stem' PASSED 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 16 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con ted 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 . . 1 ✓✓���� Inspector Signature Date One copy of this certification must be provided to the OWNER, the BUYER ( where applioab1e ) and the 130ARD OF )t8AL1'Jt. • If the inspection FAILED, .the owner or"o"porator shall *upgrade ' the system within ohe ,year of the date of the inspection, unless allowed or required otherwise as provided in 3.10 CMR 16 , 306 , partd .doc W r � J� THE COMMONWEALTH OF MASSACHUSETTS 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. Junc 8. 1995 Acung Dircctor of the ton of Watcr. Pollution Control C LOCATION �r SEWAGE PERMIT NO. VILLAGE sE' a4 46 INSTA LER'S NAME & ADDRESS I - _ rVl rel.kzl CrLi �% ® U I L D E R OR OWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED C/o vo n � ... L t '" ��, ',J _ �. �� �� ..` ; \ � �'�� �� �-� �. �� ��� �� ��� �` � a Y�<%� ,, � �d� �` ... .i\- .. \;:. . r- �� � � I NO SL�i Semnic.g Pw. aLla lnlo r No.:... �.... .7 7 FEs............y�..d°. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................:......I.........OF.............................................--------------.......-----._............--... Appliratinn for Dinpn,sttl Works Tnnitrnr#inn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ystem at 7��✓�✓iv s /ow-v(' S. % ....E z .. 1 .. ._...._.a..., ..... .. Location Address L or Lot No. 4?!:✓ ' f••--.SyI :L%.. 7s4C2.�?f.liL�L. :_�.Yr...._.rl. !4!�'✓CS...dGi�! Owner Address •.---------..-----..-.-._--.-.• .............................. C�,.L....' / �J1. tr.. ........................................... l /'� a Installer Address Type of Building Size Lot..._./....__....y......Sq. feet Dwelling—No. of Bedrooms.._...................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ofpersons_.........�............ Showers ( ) — Cafeteria ( ) 04 Other fixtures .................................. W Design Flow..................63.................gallons per person pet day. Total daily flow---------132.........................gallons. WSeptic Tank—Liquid'capaci y/....0...gallons Length._.,c�-G... Width...jf .". Diameter..... Depth - .... x Disposal Trench—No. ... ...... Width...... ....:...Total Length..:.::..._..�-:. Total leaching area'- .........sq. ft. Seepage Pit No......../ Diameter......./.......... Depth below et ..6.......... Total leaching area.................sq. ft. Z Other Distribution box (44" Dosing tank ( ) 4 Percolation Test Results Performed by__......1 . _.......JA ?>:af........................... Date... ..✓ ............ aTest Pit No. 1...'.. ...minutes per inch Depth of Test Pit.....IZ.......... Depth to ground water../.-/! .......... t24 Test Pit No. 2.... minutes per inch Depth of Test Pit..' ...... Depth to ground wat ......................................................................•--.................._...........................:................................... O Description of Soil....................l ..:�.Zi...._Ld/ ..St/aS o,. xs •-•------•----------------------- V ................................................... - ....... ....... I..-G.`Apr........"..-----......----•-----•--•--•----•-•-••----•----•--•----....... W ......................................................1 .. 1Z.......... ;S-7'-"-p..........'......................................................... U Nature of Repairs or Alterations—Answer when applicable..................................:............................................................ ...---------•---••••-.....••----••--•-•----•••......----•--•---•.........................................•------••--••---••• ••---•-••--•-•--------•••--••-------------------------.............-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLij 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. Li' Signed--->(J/:k-4,/1k ) /4)2:... phi-----•. . -----/c 1Jf ...... Date ApplicationApproved By... ,.�` -•-----------••..................................................•-----••-- Date Application Disapproved for he following reasons:-•-•---•-•-••-•---•---•--------•--•------••------••----•-•--••--•--•-•--------------------...:_•---:.........._ ............................................•---.........••-••-----------•.................---------.......----••.•---------------•---•----••--......••----------------.---••----........-•-•--•-------- Permit No....dr-3....`._�.7.7...------•-••-------.... . Issued.----•�--...-�..-.. ..3.....Date_.....: Date ---------------------------------------- �2= wIoT�4 ' —''--/- 5U' .F. s JE.n//VI E-'S' ��9 Tl�l. �e�• ioo.a IVsj7E 40•' wi��E NCO S 770 06 Z iT cu of Ia2.S ti i S3; 684 — s I(i PQalbeeD 3 F1Q - V DwEt.iiuC� Pum,P.a d N 1 Jti N FNo FL-o� N q� �O O !"1 36� 14' OU t L oT I p �L S3 - __ v J s rA L. N t D T 2U w� i' v J� l7, 034 S,F. h,C b riv;! ► � � � � Z p q [EACN. _ S 0- . • ��..�. La t �tN of�s7 � 7 �� overt 20874 Q AND SUa�`�� . LEGEND EXISTING SPOT ELEVATION OxO CERTIFIED PLOT PLAN EXISTING CONTOUR -�-- O --- �e�cri OF CERTIFIED s � 2� 'o G o'r z0 �/E NA// ' S � A7 /l FINISHED SPOT ELEVATION r FINISHED * CONTOUR 0 yrn ���'`� ��� s APPROVED BOARD OF HEALTH MORsE� IN No.10951 p ONAL�a�\\ , DATE AGENT SCALES / "= 3 0 ` DATE 7 j L DREDGE ENGINEERING Ca IN M`}G"m — CLIENT____.____. I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 83. 0_.2 BUILDING SHOWN ON THIS PLAN CIVIL LAND ENGINEER RVE DR.BY� �� !9 �''1 CONFORMS TO THE ZONING LAWS OF BARNSTABL E MASS. 712 MAIN STREET CH. BYl J,•R.� HYANNIS, MASS. Z � 10 33 �'�s-.,�'_ ?_r •-- ---- SHEET—' OF OR OAtE G. LAND SURVEYOR OMAJ o O off' o ��- � 3 �i � ►� � � a ..•�• •� o � *� r �3�� � o 71 �o o �, top . s• 4 _ 3 Comm o o Q J °Q woW :.. ... oc400 O p C tl4 � � ISS G o tZ N � . �si si x � r Del y y � � � ,.;,;;'-;• n o N � � � � s 2 It � � � � D r cam* � '• �'� � � 0 O . . I to � � � C � � . • . .�� �. • ;r.:--. .fit � n� Z •. SIIZ N O 1�• yr � � � yy l�j C � C y 3 : � : : :� : : : •,, ••. • �� � � � 4 � 1 m 2 )U . � oo' .•,, •� � .� .:. • of �y 3� � 3 � � � � y � OHO h o1 • � •� , •� • •� . . ,a M �► w rn 2 r rn �}` v: r Oar" fi LOCATION NO r VILLAGE t- i d\ DATE - (ry .. .(. APPLICANT }.r b ,��f�rr"hAAF '' a ;w FEE' Sti �1'•i�.A � ITr—�q�w.l��..wwtl�gl•1M Ilwliw�lwll '; .' t ,, .(Non-refunda �.e } ADDRESS - k !a. .-#- b13 1-��--•,. TELEPHONE _ qi �' u 1 1•w•1 wllwi f ENGINEER t n�' fir..,r=- �! TELEPHONE1Q j DATE SCHEDULED' i *. plicant' s signature • • • • • • • • •• • • • • • • • • O O • • • • • ii • • • • •�,•• • A•w• •.� �i:q, • *• Rai:•!, • • • • • • • • o• • • * * * * ego.* 0.00 • 1 x L F SOIL-LOG", x 10 l� Li m a1 Y AM SUB-DIVISION NAME "C_A fir ` ���, 11,�" 1�'�' TIME -1 -- '� EXPANSION AREA: YES O �+ ,��� °```' •f" Irk ENGINEER ?� "'�.^ �l�,�IwPA�11�11�1A�f}I�P••III�A �+l wwwwr•�i ■ .�- aruu TOWN WATER '�/r]RIVATE WELL r ' ` , BOARD OF HEALTH EXCAVATOR. rE'' " SKETCH: (Street name,etc. .dimensions 'pf -'1ot,,,,exac 1Q+ ation of test holes and percolation tests, locate wetlainds ':inn 'prpxi to test holes , NOTES: Ll Ike �f • � � ', � i +ski f e , f:t'u . 7. *" ` r t X Ivy,. rl f• T�'~ � , 1 _ wA. 0 .1 ' M �•S4u r PERCOLATION RATE: TEST -HOLE NO: ELEVATION:' TEST HOLE NO: `` ELEVATION: 1 ' � • f .1 2 � •'f -�f'$ • yam "�' 1 �+. Z . 3 3 p - . 9 . 10 r 11` "74 �, t V� y '•f 1S 12 �' <=,t 3' r12'. I 13 :� 13 14 was.W > .%; .14 ;. 15 , .r ,t 15 16 x . 1 6 i .i • . x s ?t. •4 SUITABLE FOR SUB SURFAOE 'SEWAGE:_ ' i"FIELD C� °LEACHING PITS UACHXNG THE rc iES-J7 , - UNSUITABLE .FOR SUB-SURFACE SEWAGE. REA4Q*A: 'll'�r+ �r.�• Ilwl l ' ♦g.' �. -,r "i s'�,' �, � '. NOTE:., - ENGINEERING <PLANS MUSFT iHQ NUMBER �ASSIGNEDf ON'fPERC TEST APPLICATION .:•: . deb 1wf;'c . ORIGINAL; COMPLET ""`P NED� TO BOARD OF HEALTH COPY.: ,.RFTANED BX ! CAid' °f s : h' t --101-- EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE N W EXISTING WATER SVC: ® a° �' o G EXISTING GAS SERVICE 3� m C Jennies �n --e.H.•I�-OVERHEAD WIRES' ° to TEST PIT o N W BENCHMARK ouisse JENNIES PATH u Brian n . � LEGEND Locus 28 100.27 100.15 ed Route ge of pavement 99,89 9j9,83 99.66 Falmouth Rd- SIDEWALK - '' --- C N ��,34 Dunns ------------- �, -- • Pond __ wso.:` 100.71 ioo.26�- LOCUS MAP -- 100,75'• , 1�0,20 NOT TO SCALE \ 1010, N 77'06'20" W 101)0C GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL �.•. .,. J 103.68 - :;DRIVEWi4Y": '.`:.,.:. 101.98 BOARD OF HEALTH AND THE DESIGN ENGINEER. / x ;• .'. :.'`` ' ' ;. ': 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS a --- ---_ 103,62 103,71 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE x i'` \ \ LOCAL' RULES AND REGULATIONS. 103,43: "' ::..:. ..• \ 1 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR N3,63'_' , ' :'; I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE BENCHMARK 03.50 \ DESIGN ENGINEER. OUTSIDE CORNER OF 103.32 x EXISTING x 102.515 101.17 1 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING CONCRETE LANDING HOUSE(#24) 1 x 1 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN EL.=103.42 / ENGINEER BEFORE CONSTRUCTION CONTINUES. T.O.F=104.7E GARAGE / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF CELLAR cn THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1 N o 103.87 SLAB // // i 7 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / p TER SUPPLY PROVIDED BY TOWN WATER SERVICE. 102.58 f02.13 / 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. O DECK pry . / / m 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS O I 101.63 / x AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE EXISTING SEPTIC TANK _ - \ 03.42 102.33 + / 100.79 DIRECTED BY THE APPROVING AUTHORITIES. TOP OF TANK, EL.=102.84 ` ---- \ TP-1.!O,„ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY INV.(OUT)=101.50E �� -� TP-� •!'f, A� / THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING / -Cp 101.29/1 ,r :,� CONSTRUCTION. EXISTING LEACH PIT 1 ` 101,81 x / 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PUMP, FILL WITH _ib2.71 `:r S �- 41 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND SAND & ABANDON x 102.74 f►w.' S,P��' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). LOT 20 102.03 � � 25i 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 17,034 ±SFSHED 1 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND of Mgs,p PARCEL ID: 250-115 // 1 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC o PETER T. G� 155.53' / SYSTEM COMPONENTS NOT SHOWN ON THE PLAN M CIVILEE 77,Ofi���� E / No, 35109 __ / i PROPOSED SEPTIC SYSTEM UPGRADE PLAN F Ec�STE�`�° �� + 102,40 S 24 JENNIES PATH, HYANNIS, MA SI E Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 �( V OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. U ►`� `' NGUYEN, THANG D Engineering Works, Inc. 1 =20' P.T.M. 181-16 24 JENNIES PATH 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. HYANNIS, MA 02601 (508) 477-5313 8/12/16 P.T.M. 1 Of 2 I NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=99.0 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. EXISTING INSTALL RISER & COVER PROPOSED S.A.S. HOUSE(#24) SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F=104.7f SET TO 3" OF F.G. TOI SERVE AS INSPECTION PORT T.O.P.=104.�t GARAGE F.G. EL.=103.9t F.G. EL.=103.5t F.G. EL.=102.2t F.G. EL.=102.0t CELLAR MAINTAIN 2% SLOPE OVER S.A.S. SLAB ' L = 32' L = 5' ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" g �01 4"SCH40 PVC 4'SCH40 PVC s" DOUBLE WASHED STONE ? 14 (OR APPROVED FILTER FABRIC) s N (a a9a9B96 X �, EXISTING 48" LIQUID ---3/4" TO 1-1/2" DOUBLE �`. �p cV� LEVEL WASHED STONE G�AoeoF�E INV.=99.17 PROPOSED INV.=99.00 4' 4.8' 4' `�+ . . INV.=101.50 D BOX EFFECTIVE WIDTH = 12.8' am 3 OUTLETS INV.= 98.50 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN % H-10 RATED TOP CONC. ELEV.= 99.3t NOTES: BREAKOUT ELEV.= 99.00 ease SEPTIC LAYOUT INV. ELEV.= 98.50 eases 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & Em aaaaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.= 96.50 aaaaaaaaaBa 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 2 x 8.5' ='17.0' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION ®®®® 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=90.9 E3 E3 E3®®® ® ®E3E3 ZD 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE M ~ 33" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. ; � W ® N Z E3 E3E3® ® ®®®® SEPTIC SYSTEM PROFILE 1 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS DATE: JULY 18, 2016 (REF#15,106) 20" DIA. COVER SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DAVID STANTON R.S.HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH 4" KNOCKOUT 4" KNOCKOUT 58" DAILY FLOW: 330 GPD 101.9 A 0" 102.0' A 0" 0 DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM GARBAGE GRINDER: NO-not allowed with design 98•7 B 10YR 4/2 10" 101.2 a 10YR 4/2 g" 4" KNOCKOUT LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF SANDY LOAM SANDY LOAM 10YR 5/6 10YR 5/6 500 GALLON CAPACITY, H-10 LOADING .74 GPD/SF 98•9 36" 99•2 34" CHAMBERS PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY C1 C1 PERC PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED M-C SAND 1,36"/54" M-C SAND N.T.S. USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/4 2.5Y 6/4 5% GRAVEL I 57 GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 94.9 e4" 95.o 84" C2 C2 24 JENNIES PATH HYANNIS MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. MED. SAND MED. SAND >t t BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 2.5Y 6/6 2.5Y 6/6 Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 TOTAL AREA:.................... Engineering......... 471.2 S.F. � 9 9 by: SCALE DRAWN JOB. NO. 90.9 132" 91.0 132" N.T.S. P.T.M. 181-16 Engineering Works, Inc. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD PERC RATE <2 MIN/IN. "C" HORIZONS 9 9 NO GROUNDWATER (ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. REFERENCE PERC: P-1+688, 03-07-83 (508) 477-5313 8/12/16 P.T.M. 2 Of 2 t