HomeMy WebLinkAbout0017 JENNIFER LANE - Health `17 Jennlfe Lane :
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VSAt&PHONENO.
TOWN OF BARNSTA13LE
LOCATTO $EWAOL-#-VILLAGES ASS SO 'S MAP&PARCEL
pis:; 16E VrD `f Z 75
SEPTIC TANK CAPACITY
i
LEACHING FACILITY:(type) .. 6 (size)
NO.OF BEDROOMS !
OWNER
a i �.�s -
PERMIT DATE: E6MPhtk'NCE DATE: 7a
III
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 i
FURNISHED BY
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http:!/issgl2/intranet/propdata/prebuilt.aspx?mappar=270126&seq=2 10/17/2013
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is Hyannis MA 02601 November 7, 2011
required for y
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 I /J
forms the 5
computer,
r,use 1. Inspector: �31
only the tab key
to move your Patrick M. O'Connell
cursor-do not Name of Inspector
use the return
key. Septic Inspection Services Co. .
Company Name
189 Cammett Road
Company Address
Marstons Mills MA 02648
City/Town State Zip Code
L 508-428-1779 S112855
•--B Tel phone Number License Number
i
B. Certification
I certify tthhat I have personally inspected the sewage disposal system at this address and that the
zt ° information reported below is true, accurate and complete as of the time of the inspection. The inspection
p d was performed based on my training and experience in the proper function and maintenance of on site
~ sewage-disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of
Title.5(310 CMR 15.000). The system:
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
November 7, 2011 Job# 11-196
Insp ctor's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
b
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
Tank is not in need of pumping at this time. Leaching chambers had no signs of surcharge or
saturation.
B) System Conditionally Passes:
❑ One or more system components as described in the"Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health, will pass.
Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not
determined," please explain.
The septic tank is metal and over 20 years old`or the septic tank(whether metal or not) is
structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System
will pass inspection if the existing tank is replaced with a complying septic tank as approved by the
Board of Health.
"A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of
Compliance indicating that the tank is less than 20 years old is available.
❑ Y ❑ N ❑ ND (Explain below):
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown 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
k 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
15ins•.11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is H
required for Y
annis MA 02601 November 7, 2011
_
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 fecal
coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate.nitrogen is equal
to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must
be attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or "No" to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ '® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
® Liquid depth in cesspool is less than 6" below invert or available volume is less
than_day flow
15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
I
• Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is
required for Hyannis MA 02601 November 7,.2011
every page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the:SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
j ❑ ® 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
❑ El Area
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 CM 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts
r Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Citylrown 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): 4 Number of bedrooms (actual): 4
i
-� DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440
i
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown State Zip Code Date of Inspection
D. System Information
Description:
Number of current residents: Unknown
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ❑ Yes ❑ No
Seasonal use? ❑ Yes ® No
Water meter readings, if available (last 2 years usage (gpd)):
Detail:
Sump pump? ❑ Yes ® No
Last date of occupancy: Currently
Occupied.
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
Y
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
T
Water meter readings, if available:
t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
F
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information:
Unknown
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
I
❑ 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-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is
required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
Compliance date: 8/3/06
Were sewage odors detected when arriving at the site? ❑ Yes ® No
II Building Sewer(locate on site plan):
ii
Depth below grade: 1
feet
Material of construction:
® cast iron ❑ 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
Septic Tank(locate on site plan):
Depth below grade: 8
feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain)
-
If tank is metal, list age: years
F Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No .
Dimensions:
10.5' long x 5.8'wide- 1500 gal
Sludge depth: 2„
t5ins•11/10 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
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown 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
2"
Distance from top of scum to top of outlet tee or baffle 6
Distance from bottom of scum to bottom of outlet tee or baffle 12
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.):
Liquid level was found at bottom of outlet invert and tees were intact.
Grease Trap (locate on site plan):
i
Depth below grade: feet
Material of construction:
I
❑ 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•11/10 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
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is
required for Hyannis MA 02601 November 7, 2011
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:
,i ❑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.):
G
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
'
every page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert 0
11
Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
No solids carryover or high stains present liquid level was found at bottom of outlet pipes
i
I
t
I
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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is
required for Hyannis MA 02601 November 7, 2011
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Type:
❑ leaching pits number:
® leaching chambers number: Three 500 gal
drywells.
❑ 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.):
Area of SAS was probed with no evidence of satruation found. Leaching system shows no signs of
surcharge.
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
r
Indication of groundwater inflow ❑ Yes ❑ No
t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of soil, signs of hydraulic,failure, level of ponding, condition of vegetation,
etc.):
Privy (locate on site plan):
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
15ins•11/10 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page 14 of 17
N Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Owner
Great Oak'
ak Realt Partners
—�-------------------
Owner's Name
information is Hyannis MA 02601 November 7, 2011
required for Y _— _-
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area"below
❑ drawing attached separately
5
\ \ \ \ \ \ \ \ \ \
44
44X.
\ \ \ \ \ \ \ \ \ \
27
\ \ \ \ \ \ \ \ \ \
Jennifer Lane
Ny
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owners Name
information is
required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown 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: 20
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers- (attach documentation)
® Accessed USGS database -explain:
USGS topo map and town GIS.
You must describe how you established the high ground water elevation:
Town groundwater contour map shows water at el. 25 and topo map shows property at el 50
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
15ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
i
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System'Form - Not for Voluntary Assessments
M 17 Jennifer Lane
Property Address
Great Oak Realty Partners
Owner Owner's Name
information is
required for Hyannis MA 02601 November 7, 2011
every page. Cityrrown State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
t
l5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
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This will serve only as a warning ..,At this', t�.me: no legal action,has been taken::
It is -the goal ..;of_,.Town, agencies to �- achieve ; voluntary compliance of, Town ,4
Ordnances;'Rules° and Regulations Education efforts and warning notices', are. j
attempts... to Ygain voluntary coinplriance Subsequent violations will result in a'
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AsBuilt Page 1 of 1
TOWN OF BARNSTABLE i5L
LOCATION �� JPti �G/ G 1, SEWAGE #
VILLAGE 1&i4,143 ASSESSOR'S MAP & LOT
INSTALLER'S NAME& PHONE NO.245'-ro Lim -1��
_ SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) _� ��gel (size)
NO.OF BEDROOMS
BUILDER OR OWNER ''k G L L"
PERMTTDATE: ^COMPLIANCE DATE: 3 bG
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
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http://issg12/intranet/propdata/prebuilt.aspx?mappar=270126&seq=1 10/17/2013
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TOWN OF BARNSTABLE
LOCATION 'jer-Axg, ce / �l� SEWAGE # ow
VILLAGE.r� %��--�i' ASSESSOR'S MAP &�LpOT ��'p /,26
INSTALLER'S NAME&PHONE NO. 212000Z6 rv� Yak`(/
SEPTIC TANK CAPACITY l t�8� 6,00"t 9
LEACHING FACILITY: (type) / —� (size) <3.fOK 3 1< g
NO. OF BEDROOMS
BUILDER OR OWNER '01 c C,
PERMITDATE: COMPLIANCE DATE: 0
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
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NoL/`ram v tP C Fee �l l `•
i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
Zipplication for )Bizpozal 6pmem Com6truction 30Ermtt
Application for a Permit to Construct( . )Repair A Upgrade( )Abandon( ) #Complete System ❑Individual Components
Location Address or Lot No. 17 3FjJ1J 1 FAR— \ Owner's Name,Address and Tel.No. P A-Q%C,t A
Assessor's Map/Parcel Zed / IZ (o ] 9V_6 C,ICT6'tJ M►A o z3 OZ
Installer's Name,Address,and Tel.No. pAS-6TZG G(GAV Mni 5114signer's Name,Address and Tel.No. NrF,Q-/NG WOW K5
(Sot,) 42n -93 TO sib y77 S 313
Type of Building:
Dwelling No.of Bedrooms _ Lot Size /S/ 7Z-cS sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow //Y/b gallons per day. Calculated daily flow wo gallons.
Plan Date /6 "049 Number of sheets Z Revision Date
Title
Size of Septic Tank Type of S.A.S. SOO C,1{ 1�18 -5
Description of Soil R 0 - tt Q IM y tt C 1 Ll t tt _ 1-3 Z'1
Nature of Repairs or Alterations(Answer when applicable) RGRIAGb 5) AES'i�68�-S
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 f Title 5 oft nvironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been i ue by Bo do Health.
Signe Date S- 1
Application Approved by Date Jr /L5
Application Disapproved for the following reasons
Permit No. Date Issued
.t d •�_ a.:'-.(`�' I ,,. �,y it 1,� '�'��'t� ''r C�..d�...r 5:''"`"' i
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N '�`� i CI d` t` '� Fee
e ' THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS,
01pplicatiou for Migonl *pgtem Conkructiou Permit
Application for a Permit to Construct( )Repair)Upgrade( )Abandon(. ) Complete System'. El Individual Components
- Location Address or Lot No. 1-7 Owner's Name,Address and Tel.No. P N—T 21 Cr t 14 M�LA o3
t .! �/6lmY1S 5S FintoVLN►u_ ST .
.- Assessor's Map[Parcel 7_70 / IZ(p / Qv e.I&dFN,� MIA o7_3 01
Installer's Name,'Address,and Tel.No.aAS7VR-J�) UCC--AV ATI esigner's Name,Address and Tel-.No.El-,>b t Ncb124jt!G
a
q3(51>
(S08) uT�.Is 313 ,
TI pe of Building:
' Dwelling No. of Bedrooms Lot Size 15i sq.ft. Garbage Grinder
Other Type,,of Building No. of Persons Showers( ) Cafeteria( )
" . • Other Fixtures Ut
Design Flow y Y b gallons per day. Calculated da ly3flow gallons.
Plan Date �� - Number of sheets Z- Revision Date
Title
Size of Septic Tank Type of S.A.S. 3 SOO C,l-�K}1•AB�QS
Description of Soil R
Nature of Repairs or Alterations(Answer when applicable) (Z6PLIJG-6 �r 0 ��S{�aaLS
Date last inspected:
Agreement:The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
i�. in accordance with the provisio 1of Title 5 of/ Environmental Code and not to place the system in operation until a Certifi- .
cate of Compliance has been ' su d b is Bbard o Health.
Signe Date s 1 S- nZ0
Application Approved by Date s �S
Application Disapproved for the following reasons
Perfiiit No.. r'9�30(P Date Issued J
---————————————————————————————————————— � .
THE COMMONWEALTH OF MASSACHUSETTS L�
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded Al)
Abandoned( )by PAS -GX C./JV 4!fl
at 1-7 SsluN�f-_bA-- 1-1,3 • 14 YQQP) S has been constructed in ac%� dance
with the provisions of Title 5 and the for Disposal System Construction Permit No.�_ " 6 "�(Pdated 5�5<
Installer IPAM70V-S E1te.AyP�lIerr-� Designer E►J tLLN 11'48 C-- CrZ.IC-S
The issuance of thi p�eyYnit shall not be construed as a guarantee that the syst m w fu ction a� esi tied.
Date ��00 IL• Inspector �11
No.rocr-) (O ~��'� Fee �O D
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTShQt \�
Migponl *pztem Cott!5truction Permit f fz-- �0 r-)Q�►
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) ��`�� lb iC-yl
System located at 1-7 Z4'GIJ N I t'�Q W-3- �C1 Y
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Construction ust be completed within three years of the d e of this e 1 .
l r
Date:_,- S ��/ -Approve
08/04/2006 08:22 5084775313 ENGINEERING WORKS PAGE 01
Town of Barnstable
Regulatory Serviece
7hiomas F.GoVer, Dlreetor
Public Haltb DlvWoo
Tbomas McKean, praetor
_.._..._ _ M Male%*+sst, Hysonts,MA 02"1
Office. SMA62-41" `a We 79"3 w
lossal r& Desiuer Cereftstlo°Form
Date: Sewage Peraaltt 4) At+seMor'9 M/plPerc*L Z. L
tic 1&4--t c P£ 7 f
• ( 6 2�OfK `� Q4110eA1 01.1
De*wr: , �. Installer:
Address: �Z4�..Cr Address: is 1
_ _...� Ptil�pr�t f�e.•a+_, was issued a permit to install a
(date) (installer`
septic system V j�7 S�nA•+ei Leg" ..j l p&jw 4 _ bawd on a demp drawn l+y
lsdd:ess)
P_ dated
ldestStser)
yl 1 certify that the septic system referenced above was installed tubstantiAly excerdtnl tc
the design, which rnsy mciude minor approved chsnSes such as lateral relocation e. the
disuibutton boa aruVor septic tame
1 :er* that the septic system referenced alwve was insWlcd With nta or changes
► greater thus 10' laterM relocation of the SAS or any titrtical Mlocanon of-any eomponsttt
of Du septic system)but:a accordance with State & Local Regulations. Plart revision of
certified as-built be designer to follow
/ (Iris ' e-61 tsttarse) ; 1 H�
(Desism'a irawe) �(AfYtx Designet's Stnrttp Here)
P r�_TIsitii S&USId► CM IQTE Of
- R&�.� , d`� rr.,�,pt.�x,.�,�i.�y.� AV_ ril<� Yet•
�) �.I�ty9ep�K.•Uui�ar Cs+nllc�ion Turn !•2A•O14a ' � -
9�l N�02
Notice: This Form 19 To Be Used For the Repair Of Veiled
Septic Systems Only
PERCOLATION TEST AND'S®.IL EVALUATION EXEMMON FORM
hereby erertify t1W the engineered lIM signed by m
dated t D 6, ,concerning the property located at
matte of the
following Criteria:
e This tided system is corinected to a residential dwelling only. Then are no conunaicia t-ar-----
business uses associated with the dwelling.
The soil is classified as CLASS I and the percolation rate is less than or equal to S nuttutes
Pa Mch. The applicant may use historical data to conclude this fact or may conduct deep
test holes tend percolation tests at the site without a health agent present.
a 'There is no increase in flow end/or change in use g proposed
o Them am no variances requesW or needed.
® The bottom of the proposed leaching facility will be located no less thanfive feet above the
tneximurn adjusted groundwater table elevation, [Adjust the groundwater table using the
I )~rinvwr method when applicable]
Ply complete the following:
• F
A) Top of Ground Surface Elevation(using GIS informtiona) � 45, 6
B) O.W. Eleva.tion (P +adjustment for high G.W 2 2 g 7
D07FERENCE BETWEEN A and B
SIGNFD : DATE:
NoTict --
upon the above information. a repair pmmut will be issued for bedrooms
maximum. No additional bedrooms are authorized in the future withoutgineered sec system
ply. ,
TOWN OF BARNSTABLE
LOCATION / J?,i►�t r T�[� [? a r1.c_. e# A>S
VILLAGE i.S ASS SOIL'S MAP&PARCEL
Ate'SrA &PHONE NO. /� ///C,[�� n11
SEPTIC TANK CAPACITY I-bD cad-5
LEACHING FACILITY:(type) (?LrY e. rS (size)
NO.OF BEDROOMS OWNER l /y
PERMIT DATE: G6 Mfttk-XCE DATE: S 7/II
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 t within
300 feet of leaching facility) Feet
FURNISHED BY
+ N
5 � .
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44
-44
L \ , Y ♦ h \ h \ , Y
,rr PROVIDE RISER OVER D-BOX NOTE: TO PREVENT BREAKOUT, THE PROPOSED
TO WITHIN 6' OF FINISH GRADE F.G. EL: 94.5t FINISH GRADE SHALL NOT BE < EL:91.5
FOR A DISTANCE OF 15' AROUND THE
F.G. EL: 96.Ot PERIMETER OF THE S.A.S.
EXISTING F.G. EL: 96.0t
4 MAINTAIN 2% MIN SLOPE OVER S.A.S.
INSTALL RISERS W/COVERS OVER INLET INSTALL RISER OVER ONE CHAMBER
Lt =26' & OUTLET TO WITHIN 6" OF FINISH GRADE WITH HEAVY DUTY FRAME & COVER
L2 =28' SET TO FINISH GRADE
�. 4° SCH 40 PVC L =26 L =23'(MAX)
4" SCH 40 PVC — _ 4" SCH 40 PVC
@ .S= 2% (MIN.) to -a-2' LAYER OF 1/8' TO 1/2'
"1'=INV.
@ S= 1% (MIN.) aaa aaa . DOUBLE WASHED STONE
ta' @ S= 1% (MIN.)p: ae' uoutn ELEV.=91.50 2' EFF, DEPTH ,� rFF
.:. INV.EL:93.50 LEVEL y� INV. ELEV.=91.675.2' 4' 3/4'-1 1/2'
6A�FLE PROPOS D D-BOXSOUONEE WA HE• INV.EL:93.25IVE WIDTH = 13.2'
1
INV. ELEV.=91.00 3-500 GALLON LEACHING CHAMBER5
TIE IN TO EXISTING 4" SEWERS
PROPOSED 1500 GALLON SEPTIC TANK IN SERIFS WITH 2DnL=A i�i_W
OUTSIDE OF BUILDINGS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING • TOP CONC. ELEV.=91.8 BaBa —BREAKOUT ELEV.=91.5
SEWER NO.1 INV. 9 PIPE INVERTS PRIOR TO CONSTRUCTION. INV. ELEV.=91.00 a®aaa
SEWER NO.2-INV.=94.2t easesa ea a
2) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL aaaaaa®®a®0
AND TRUE TO GRADE ON A MECHANICALLY COMPACTED) BOTTOM ELEV.=89.00 Em
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 3' 3 x 8.5' = 25.5' 3'
310 CMR 15.221(2). 5' MIN, ABOVE MAX, SEASONAL EFFECTIVE LENGTH = 31.5'
3) INSTALL INLET & OUTLET TEES AS REQUIRED. HIGH GROUNDWATER ELEVATION
(3) 5" DIA.OUTLETS 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE LEACHING SYSTEM SECTION
15,5' 16' 2' AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. p NO G.W. ENCOUNTERED
� BOTTOM OF TP-1, EL•=84,0
y SEPTIC SYSTEM PROFILE
15.5' 1 `� t! 1 N.T.S.
6' 8'
DESIGN CRITERIA
HOUSE NUMBER OF BEDROOMS: 2 BR PER BLDG. = 4 TOTAL
D—BOX (#17B) 4
SOIL TYPE: CLASS I
DESIGN PERCOLATION RATE: <2 MIN./IN. ��P��� �f Mq ff9lyG
SOIL LOG DAILY FLOW: 440 G.P.D. o PETER T.
DESIGN FLOW: 440 G.P.D. {
o McENTEE
NT, h
DATE: JANUARY 4, 2006 GARBAGE GRINDER: NO CIVIL
SOIL EVALUATOR: PETER T. McENTEE C.S.E. No. 35109
o LEACHING AREA REQUIRED: (440) _.594.E S.F. Rf61SCO Q
irtvERr ®®®® 0 ®®®® o; Deck INSPECTOR: NOT WITNESSED-CLASS 1 SOILS 74 FS N
®®ER®®®®®®®® 33"
S
®®®®®®®®®®® PROPOSD SEPTIC TANK: 1500 GALLON
24^ 00HUER®®®®®®® Elev. TP— 1 Depth Elev. TP-2 Depth
_ EXISTING p M6 G
' 102" �,) 212 HOUSE (#17) g4 2 FILL 16 95 7 A SANDY LOAM 0 USE 3-500 GALLON LEACHING CHAMBERS IN SERIES
SECTION ^ TOF=98.38 A SAND i.Y LOAM
96.7 10YR 3/3 12"
(2 bedroom) 93 8 10YR 3/3 20„ B SANDY LOAM SIDEWALL AREA: 2(13.2' + 31.5') X 2 = 178.8 S.F.
r----- 10YR 5/8
I 2q y. B SANDY LOAM, 91.7 48" BOTTOM AREA: 13.2' x 31.5' = 415.8 S.F.
4^ KnocKour I I 1OYR 5/8 C1 52" 594.6 S,F,
zo• oiA. coven � L J 91.5 48" a TOTAL AREA:
Ct 50" w
a^ KnocKour O�4^ KNOCKOUT 62" 64" DESIGN FLOW PROVIDED: 0.74(594.6) = 440.0 G.P.D.
•^ KNocxour i b I R� 5A'�+ a 62
I (� I M—CjSAND M—C SAND PROPOSED SEPTIC SYSTEM UPGRADE
I 2.5Y,8/6 2.5Y 6/6
PLAN 17 JENNIFER LANE, HYANNIS, MA
L---- Prepared for: Patricia McClain, 54 Haverhill St. - Apt 1 K, Brockton, MA 02301
500 GALLON CAPACITY, H-10 LOADING .
84.0 138" Engineering by: Surveying by: SCALE DRAWN JOB. N0.
CHAMBERS S.A.S. LAYOUT 84.7 132" Eng/needngWo,)b' Terry.! WarnerP.l..� N.T.S. P.T.M. 245-OS
Nrs. NO G.W. ENCOUNTERED 12 West Crossfie Rood Long Rood
NTA 0 H Forestdole, MA 2644 Harwich, MA 02645 DATE CHECKED SHEET N0.
PERC RATES < 2 MIN/IN. (508) 477-5313 (508) 432-8309 01/16/06 P.T.M. 2 Of 2
`4;,
r
ROUX 28
EXIST. WELL LEGEND
l� 93.031 TD, BE ABANDDNED
u) (SEE NOTE 8)
138 PROPOSED CONTOUR
EXISTING CESSPOOL LOCUS
138 PROPOSED SPOT GRADE
IL TD1 BE REMOVED
1A0C
` (SEE NOTE 11) -- 98 -- EXISTING CONTOUR
x, e1 - you x 98.23 EXISTING SPOT GRADE d.
94.1;5 c�jF p & TEST PIT 3 o
EXISTING WATER SERVICE
is
>� / l}'�•� �< �R 03
EXISTING OVERHEAD WIRES
tir `s6-°�\� f ' � EXISTING WATER SERVICE
ST
A\'(�• a `� y ,`',;:•G O`:. EXISTING CESSPOOLS wEsr MaN s P°.
' d�. y „ `•� ` � T D BE L DCA T ED, PUMPED
`� 2 °'3�1 1 ~` G �,`•, Tm, AND FILLED WI TH SAND.
J 94 , LOCUS MAP N.T.S.
RIuP ..�. �91 �
Lot 2 x� ���' �` _. !'x�" �`"~`;, 2,)�
��
15,728t S.F. S.3; 0� �'`' " _ GENERAL NOTES:
0.36f AC. - _. •. t Pro . •� �. ,
Map 270 ._� "`�. ; Sept/c � `� `� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
7.1.1.
a Tank"`, ✓o �` f1' �. BOARD OF HEALTH AND THE DESIGN ENGINEER.
Farce! 126 21 `7E 31 �• �t ` ~`N10 ``~ �� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
Sewer no. 2 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
LOCAL RULES AND REGULATIONS.
r5 OF �'` \ / r ff �`� a3'4a`~` 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
{ �5<�� �O {�,' ,t�~ °3S ti 1f�, 1� �� ~` x ``., TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
9�� °�4 o.H, �~.' �'.�• �,}J`'�'2a �_' r TO,�SF �N \ `. DESIGN ENGINEER.
UP/2 �+! �•� M�� `� C 65' \��, 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
�O�O� � Provide J bP496'8f�.�
6 J FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
07 ;'- tVy�`7 81 tit. � ��, Cleanou� l�'� {�� °oigl `�`` �� ENGINEER BEFORE CONSTRUCTION CONTINUES.
---w �_„�, -_. ��- VJ-"r. 1,- � � `� 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
Benchmark set �' -• ub ti 4 -11)e. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
Right cor, bot. step ��S 22.~�Fsewe
NV, 9no. ��. ~ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
E1,=98.16 (Assumed) 9s�>,OS ```` HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
v1i jj '3y ` 7. WATER SUPPLY IS PROVIDED BY TOWN WATER SERVICE.
s6° SfQ- tti r -3 , 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S.
9 .1, 0 0
9 � /�, PENDING CONNECTION OF 27 JENNIFER LN TO TOWN WATER SERVICE.
00' 9. SEPTIC SYSTEM COMPONENTS SHALL BE INSTALLED AS DESCRIBED
• 'ti °�j IN 310 CMR 15.000 SUBPART C•
10. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE LOAMEO AND
x -96'79 �� SEEDED UPON COMPLETION OF CONSTRUCTION.
Location of water service `�ti .` '
between house #17 and house ,; 97.71 .. . 11, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
#17B Is unknown, Contractor �� • • THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING
shall verify that the water `�\ rQs •�'`•,� CONSTRUCTION.
service lies outside the area �. l 12. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
of proposed work at time or x 99 11 `.� IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S.
d.
constructlon. Relocate as req' AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3).
Benchmark set � PROPOSED SEPTIC SYSTEM UPGRADE
Concrete pad 9.50 x o PETER T,
El.=97.52 (Assumed)
MCIVILcEN E y 17 JENNIFER LANE, HYANNIS, MA
No. 35109 Prepared for: Patricia McClain, 54 Haverhill St. - Apt 1 K, Brockton, MA 02301
9£C/S1E ��� Engineering b Surveying b SCALE DRAWN JOB. NO.
FSS10 N�� 9' 9 Y Yi 9 Y P.T.M. 245-05
Eng/needng�Ponbi' Te�ry� WarnrerP.LS. 1"=20'
12 West Crossfield Road 22 Long Road
\ Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO.
• (• 11��1 (508) 477-5313 (508) 432-8309 01/16/06 P.T.M. 1 Of 2
v I
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die' r . ■mmu„.- —. - •- --— — - - I
djlniic � ununuuunn.. _ 'I
inn ■■nun,■uunu'. - � •
■i'wlmnn � I,
dn■nlnmil ununalnu■nrn■I■1■u i■�r.
.':noon■rinnn.mun..._...�...-�..In,u■ui uunulnal.In■u...11.nn.1n■■.I■lua
iumntiie°onmm�uunmuuuuulnu,munnuuuuo �Ji nmuuuuu,■uuuuuuuouunuw■I 'iinn■um. �i
1oln ueurmt■n'r ■,■. Imm'u 1n=•nnn■uu,nu■u■nnn■■tnuuuuuuuun, .im■u■■u■.u.. _
amnn■nt■1 U.M. I■umui ;1 n1lamauulnamamamamamama,n .■;mauunuunnuun.
umn,l•nuniirnn,�nnt ■until■' uu!!uuu'■,a' uuul>t,u■I mamunamamu.
1lnn'1nnn,u.p■nun, ..■■,. 1■nlnall , 1 Mills, ■I't��Innlnl'I■■1■ \II,■In■,n■1■'■O'■..
■u nl�lri,ntrii�, ■�■'. --- I■nuun onnnunPl nnunun _ 'ii■� •vuunnuunnnnun.. - 5.
tin uum■u' mnunu■"■■In■nuul■In■u,■u'■um - ilinnnl. �■analsumumm. - _ �� —
I%Ijt■e'■11 m■roan -1 nuu't■■la■a■I'nn■'Ial„1■I■'1'1■",1'tOl,uuuu I�aunmu_ .pww,emuuum. "
n� ,11 pnun�;nn'ruiu uu'■un !-�-,l ,aI nnamPt■umatnamnnnnamalnem '� �Cunu■u,■no• .unuuuu'umuuu•.. i- �.I
,1 e1e1 _ nulu �_ ___'■uuuunum■nulnn■uuuuum■I _ ,'nnntnnwnnuuu. �■'amnnun■u'■1.
ml n nnn;n . I■_!gn___-_-_— ____ .Inmunuu,■u■■s
■ �1 i■1ltumu,�:- -- _ ',, � unnnu'1uu1•�liiunmmin:iin:iiiii'�:i - `"- .'i1■nlniniiiuuiuii'iiniiis �e
•-� �.nuununlunuun.. . - .• ,
n1I � - ::..=e=s::e �� i I �L mmatnnn — - uuu■n■ml..
�'� uuuu■■uun'■u'■uunuuulu■u'■I — .'um _ r a , alnanuno numunamnnam.
m1 i III I I ,;I uuunlnnl"nno;u' - ,!���, ��Inl •,■umu■lumuln.
n' a I I I I„ I II I, III,.II �i nnnunatm r �ii'■=:: 1-9131�i'n niiii■_ `anuuununuminu..
m ■ Ir IIIIIII IIII.IIIIIIIIIIIIIIIIIIIIIIII.IIIILIIIIIIIlIOf'IIII uumu■uuliuu,; ^'�I �--. .nuuuu'n- nnunun■Iona. -.nu■launmauul�
ml a III�IIIIIII�III�III�.IIIIIIIIIIIII IIII Imo.-----I �ii�, _�'' ,u■1 — � uu'un■uuu..
u■ • • :T` III
IV6IIII _I- ___
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__ uunnual■uuuunuu _
M —- ono■1■lamunu___ __-_ _ — .a■m■1'uw iu'ui uvn nwluu'iii1
uv
.'nl■'I,Innl■„■I■,nl■.
--. nununuulnu' .mal■om■mnn■u
f1�1I�I P IIII• - -- -- ii'u1ui111'niu ::�::.:::nn.U.M., u■uu !iliiu�iiuiu�niiiluiui■ii —3: I - -ua■uuumn■uu "..
u'nlulnmuuunui nnu.l.: • II
muuuu'„u■ut01■■ .p nam■mauummm�
n■ma'nauumm 1" I nln■'nauulnal. uunu■u■nu■1■uuu n�namu� :�. _I
■�■:P, mm�■lnnu■uu nunu■u
_ _ 1u, I ,uulunu.uuun nmuuu'ununn' uuunn■un'wnnn■u Ituouun'1
♦ ♦ • iii ■,. naia�iu:iiiiuiln■ii I nna■onnn■wa namu■'amnnnn■u n,uu .■ma'nu�
1,1■, l auu,nn■un �■.':■� nm,umnunW
u uu ulnn'11'nnu iu'vn■n'�
uuuwmmuuuuu nnunu'nuluuu'uun wmntnut� �-
n'u , unuuuuuun■nu■ u'■"Imnnamn■ na'n■mnnaanam■u - — _ ���,-
uu ? u■t■auumnn■u L.-- m■umn■n■In■ nu■uumn'e■n,■nu nunun■Irv!
tin nu■u,■In■nmw - ,■uminlnuunun'uun ■Innu■n■�t r�1�s��i
nut nuunnwutuulm„u■uu,■nu■„IUlnuumuuunnuuu mmamamununm a u■� .ii��� BEDROOM
nn 1. _ _ n■m■mun■munun■mununalnummn■lu. w■■uuuu less uunu
nl■L=. = - nt■■l„■I„■1'1■In■l,■■I,■.In■1,/■In■n'■1"■,11■n,■ In■,ul■■I,I■"nan'a.......annual
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'I 't nalnl =:. uuuuuuu,uunnununnnuuun ulo°n namnnun'munw
i l IIIIkI'.I I niiuli �.= in'iia'nnnat■alniiiu'ni'ii�� is wuuun,nu■tu■tin 011lllllllllllllil l_: I
Illilllllll� I�I6IIIII�I:I�III Ilcllillllll�llllllllllll IIII IIIIIIII unie Illlllllllllli; � in� unwuuuun so ull �' ., .. 'I
mmauwnuna,n'u ME
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.�.a_ _ _ u'■uul"■u'■u1■'o■n'■m■m■ uunuuuuu......■1■n1 �L- _"--
w�n n'uunnuwuwnuuuun®�r���l �1�w■ll�rw
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