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HomeMy WebLinkAbout0461 OAKLAND ROAD - Health 'GAkland "load H,Yannis - A = 272 098 1, r IM 0 TOWN OF BARNSTABLE LOCATION 0Ar+4=Lq:n!!-)(> SEWAGE# `Li p L*L6 VILLAGE i4gA1 -1N iS ASSESSOR'S MAP&` PARCEL \"L�Z INSTALLER'S NAME&PHONE NO. e l - 6` OL e- 56 ) 7°' 98-1-7 SEPTIC TANK CAPACITY J 00,,,,J. LEACHING FACILITY:(type) LG-Io c-4A M O(De-c, (size) NO.OF BEDROOMS OWNER W l LOEM LEA PERMIT DATE: 4, f I ZI COMPLIANCE DATE: r( Z( 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility eet 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 � ( ��, N l� 0.41,1'L+1 'e�; No. ��/ 1 _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN CIF BARNSTABLE, MASSACHUSETTS Yes Rpfitation for Misposai *pstrm Construction Permit Application for a Permit to Construct( ) Repair N Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. t G I &A+�LAOa 91> j4V Owner's Name,Address,and Te1.,No. l�FY1L.1�t:LLt Atv�412+�2. � M te4 ED�R�5 Assessor'sMap/Parcel p;:7v1 Cl2 $( OA14*LA� A0 Installer's Name,Address,and Tel.No. 50E-4+ 7Z $Fs T7 Designer's Name,Address,and Tel.No.SOS-X"TT 5°'0!7 7 oft%%f 6 00b, C::* X<_- GI�3f&)ffb" x-, =0C. Type of Building: f Dwelling No.of Bedrooms Lot Size 1(0lgZ0 sq.ft. Garbage Grinder( ) Other Type of Building R!^SI4L`No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -3 3D gpd Design flow provided `3 3 e!j gpd Plan Date—62 " Number of sheets Revision Date Title 441 QA-fGj_AA.�b RZ #YkxjyI Size of Septic Tank 1 50 O Type of S.A.S. �5p &64^j&C Description of Soil zem"q -5,+a) AD, 2h�� PZ ) Nature of Repairs or Alterations(Answer when applicable) PO& P Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board eal Si ng_ed Date Lg""U' 'O Application Approved by Date ^ Application Disapproved by Date for the following reasons Permit No. go;Lq— Date Issued "� �/ No. "�01`1 ,p 3 Fee y THE COMMONWEALTH)OF MASSACHUSETTS Entered in compute PUBLIC HEALTH DIVISION'- TOWN-OF BARNSTABLE, MASSACHUSETTS Yes 4phratlon for Mispo8al 6pstem Construction 3permit " Application for a Permit to Construct( ) Repair( Upgrade(, ) Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No. 46( pr 4j4LA b Pa> {�� Owner's Name,Address,and Tel.,No. �1 HIL14c-m 4LvAket a MiA 6V&A&DS -° Assessor's Map/Parcel Zoaa /w V91 0A4&*LA) Ph Ev,dlEuu(S Installer's Name,Address,and Tel.No. S09«477-$is'7-7 Designer's Name,Address,and Tel.No. ,S"&'a Wit'y r P S•y b0-64 do A� > - t y WAXIJY 45 u gwOA 4 Type of Building: f Dwelling No.of Bedrooms Lot Size 14015,8c)— sq fft. Garbage Grinder( ) . Other Type of Building ttgCl l'ITkLL_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) n gpd Design flow provided 3 S 3.q gpd Plan Date 7� Number of sheets Revision Date ( Title 441 d mK. AAA RZ 4YA x)y(C Size of Septic Tank 1 ,150 Q ^ Type of S.A.S. Description of Soil (� /�/�•/ Si/-,G� [S�. '�4, des PG�R�J 5 ' Nature of Repairs or Alterations(Answer when applicable) U Ste- &WjLr L�<��� C-P* L L)91 c5 Cl2Z C 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 Boarof.$ealth. rSigneed O t� ` per_ Date Application Approved by Date A ^/-may `1 Application Disapproved by Date for the following reasons Permit No. d�C) Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by R q:7r at 41(/ 641<(AA,( S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 �" dated Installer kv&aa V` 0A do Designer #bedrooms Approved design flow gpd The issuance of this permit shall/nbt1b�be construed as a guarantee that the system wil•1-functtion as-degigned. Date // / C7` l Inspector _ I No. go Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposal *pstetn Construction permit Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at 14Y and as described in the above Application for Disposal.System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. 1 Date ~ 115 - Approved by ` V ' i Town of Barnstable Regulatory Services Richard V. Scali, Interim Director • aAxtvsreate, ���'�� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 7-21-21 Sewage Permit# Z0Z1 MZWAssessor's Map\Parcel 272/98 Designer: JC Engineering, Inc. Installer: Robert B. Our Co., Inc. (RBO) Address: 2854 Cranberry Highway Address: 363 Whites Path East Wareham,MA 02538 South Yarmouth,MA On IS Zk RBO was issued a permit to install a (date) (installer) septic system at_461 Oakland Road based on a design-drawn by (address) JC Engineering, Inc. dated 6-13-21 (designer) X 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 tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i iance with the terms o the I\A approval letters (if applicable) ��tiQtiz„iOO�J. �dXJ 0 oOfURRCHIHILL Installer nature) CML .�t (D ner's SignatutVARMSTABLE (Affix De p Here) PL SE RETURN TO PUBLIC HEALTH D SION. CERTIFICATE OF_COMP_LIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.. THANK YOU, Q:\Septic\Designer Certification Form Rev.8-14-13.doc AsBuilt • Page 1 of 1 TOWN OF BARNSTA.BLE LOCATION / 0,4 k144� IZG. SEWAGE tl VILLAGE 14)AMIS ASSESSOR'S MAP &LOT_ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY S� LEACHING FACILdTY: (type) "' Y1 i it (size) NO.OF BEDROOMS 3 BUILDER OR OWNER dlru ,Ai PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of Ieachin facility) Furnished by Ca L Q0 a3 al0 /' C y ay 3l • http://issgl2/intranet/propdata/prebuilt.aspx?mappai 272098&seq=1 1/18/2011 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, 6TARMI.LE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A General Information When filling out forms on the computer,use 1. Inspector: only the tab key �?'2 U( to move your MICHAEL DEDECKO 7 cursor-do not use the return Name of Inspector key. COMPASS REALTY DEV CORP Company Name +� P.O. BOX 2384 Company Address MASHPEE MA 02649 Cityfrown State Zip Code 508-221-5003 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspecttp- 1/7/07or'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 isa sharedasystemaor has a design flow of 10,000 gpd or greater, the inspector and the system owne4hall 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 th�conditions ofuse at that time.This inspection does not address how the system will perform A the future under the same or different conditions of use. 1 281OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage owposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT,TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. City/Town state Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: i<. ry pe 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: i s E. 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 F the Board of Health, will pass. Answer yes, no or not determined(Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed 281OLD MEETINGHOUSE•08M TWO 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cltyfrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 281 OLD MEETINGHOUSE•08AX Title 5 OIL Irepection Forth.Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/0 DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cltyfrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ M111" 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 ❑ .L.�/ Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow ❑ M11, Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Ly Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ar/ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 281 OLD MEETINGHOUSE-0801 Title 5 Official Inspection Forth:Subsurface Sewape Disposal System•Pape 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 tv Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cityrrown State Zip Code Date of inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ LM' Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ uv 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. ❑ ,L,�_I,/ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 281OLD MEETINGHOUSE•08ft Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Foam -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/0 DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owners Name information is required for HYANNIS MA 02601 1/7/07 every page. CltyfTown 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 ❑ LV' Pumping information was provided by the owner, occupant, or Board of Health ❑ 2 Were any of the system components pumped out in the previous two weeks? ❑ E 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? gel"' ❑ 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? P ❑ Was the site inspected for signs of break out? 19' ❑ 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: L�' ❑ 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)] 281OLD MEETINGHOUSE•08" Title 5 Official Inspection Form;Subsurface Sewage Disposal Systern.pagg 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 117/07 every page. Citylrown State Zip Code Date of inspection- D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 7F5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 3"_>_1 0 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes C! No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ET__No Laundry system inspected? ❑ Yes L7 No Seasonal use? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): to Sump pump? ❑ Yes [9 No Last date of occupancy: N(f4 . Date Commercial/industrial Flow Conditions: Type of Establishment:. Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 281OLD MEETINGHOUSE•08106 Title 5 Official Inspection Forth:Subsurface Sewage Disposal hem.Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: I 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: L1�'fS Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: (jqq) Were sewage odors detected when arriving at the site? ❑ Yes 2 No 281OLD MEETINGHOUSE-08A8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 461 OAKLAND ROAD Property Address Owner C/0 DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owners Name information is HYANNIS required for MA 02601 1/7/07 every page. Cityrrown State Zip Code Date of inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: a I feet Material of construction: "st iron VC PVC ❑other(explain): Distance from private water supply well or suction line: T W)%i LI ' feet Comments(on condition of joints, venting, evidence of leakage, etc.): r { Septic Tank(locate on site plan): I Depth below grade: feet Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------- Dimensions: 10005 19'� Sludge depth: t Distance from top of sludge to bottom of outlet tee or baffle a� `1 Scum thickness 3 Distance from top of scum to top of outlet tee or baffle I Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 281OLD MEETINGHOUSE-08M Title 5 Official Uispedion Forth;Subsurface Sewage Disposal S,stern.Pap 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 461 OAKLAND ROAD Property Address 4 C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1!7/07 every page. Cltyrrown State Zip Code Date of Inspection t D. System Information (cont.) Comments on pumping recommendations,( P P 9 inlet and outlet tee or baffle condition, structural integrity, F liquid levels as related to outlet invert, evidence of leakage, etc.): oww*<,�,"c1 ►Pt)wt y�ry t lrt S. (o b'-c r, 5!t1cD)"1%4 �n.�� Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: l y 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cunt.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? s ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert :RX t 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.): 1 ( nx Is 4 k�qv r)o o�ov Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 281 OLD MEETINGHOUSE-08M Title 5 Orfidal Inspection Form Sowrf m Sewage Disposal System•page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal g p al System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is required for HYANNIS MA 02601 117/07 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ❑ leaching pits number: leaching chambers number: ❑ 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.): 1-- ruv w a , c 281OLO MEETINGHOUSE-08M Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is HYANNIS required for MA 02601 1/7/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 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.): I 281 OLD MEETINGHOUSE-Oa'06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments "< 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owners Name information is required for HYANNIS MA 02601 117/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. C � I 3 cyzy M-3 ► 281 OLD MEETINGHOUSE•08M Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 461 OAKLAND ROAD Property Address C/O DAVID HOLT, TODAY REAL ESTATE, 1533 FALMOUTH RD, CENTERVILLE, MA, 02632 Owner Owner's Name information is required for HYANNIS' MA 02601 1/7/07 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope [Surface water eck cellar Shallow wells Estimated depth to ground water: feee t 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: 6`5 2 - You must describe how you established the high ground water elevation: 281 OLD MEETINGHOUSE•08f06 Title 5 Official Inspedion Fom Subsurface Sewage Disposal System•Page 15 of 15 T � 131 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED APR 0 8 2003 TOWN O BAi�NSTABLE TITLE 5 HEALTH DEPT. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 461 Oakland Road MAP 272. Hyannis, MA 02601 Owner's Name: Christian Jones PARCEL : O 9 Owner's Address: LOT O Date of Inspection: March 13, 2003 I Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map:272 Mailing Address: P.O. Box 49 Parcel. 098 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fail Inspector's Signature: Date: March 14, 2003 The system inspector shall sub t a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 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: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 461 Oakland Road Hyannis, M4 Owner: Christian Jones Date of Inspection: March 13, 2003 D. System Failure Criteria applicable to all systems: You must indicate either"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 '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed.at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 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: Yes No ✓ 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(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 4 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAIA NDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): spd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Never pumped-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 3116198-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 f t,. Page 7 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 461 Oakland Road, Hyannis, M4 Owner: Christian Jones Date of Inspection: March 13, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 4pprox. 20" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1500 gal. Sludge depth: I" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs of leakage. Recommend pumping. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 E Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even 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.): The D-box was level. No solids were present. PUMP CHAMBER: None (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.): i 8 • Page 9 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: ✓ leaching chambers,number: 4 infiltrators with 4'stone-per as built card leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system 71 pe name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.): The leach field was located, but not dug up. There were no signs of failure or back-up in the D-box. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: None (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.): 9 f • Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. P PP Y g Ca �,A 3 llD i a A 8 0 PO 93 - aC /7 C 3 i(D 019 10 f Page l l of 11 2,Y OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 461 Oakland Road Hyannis, MA Owner: Christian Jones Date of Inspection: March 13, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 30 +/- feet" Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and the Cape Cod Commission water contours map,the maps were showing approximately 30'+/-to ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied,relating to the system, the inspection and/or this report. I1 TOWN OF BARNS STABLE LOCAT16N y� 04kl4ftC /CG- SEWAGE # VILLAGE IwA-M ll ASSESSOR'S MAP & LOT �7a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY n I LEACHING FACILITY: (type) �'' /^I'' (size) .77 NO. OF BEDROOMS 3 BUILDER OR OWNER rIS?'iAi1 •�0/�.S PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) r Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1^S',0CAbn Ca x t t eA 3 t l7cc.k � a A 3 ao a3 O .2 17 c 3 �c� ale TOWN OF BARNSTABLE LOCXTION y ® /�L �L9 /� _ SEWAGE # VILLAGE ASSESSOR'S MAP & LOT �l g INSTALLER'S NAME&PHONE NO.. =_1 1ZP�*-�s SEPTIC TANK CAPACITY LEACHING FACILITY: (type) !J (size) VZE 5-1L, NO. OF BEDROOMS BUILDER OR OWNER -DQ,14 PERMPTDATE: '.5'-II COMPLIANCE DATE: 11h y Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well 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 w • } 10 { LA � F L iF No. /G Fee `✓ � THE COMMONWEALTH OF M SACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Mio 15 r &p.tem Conelruction Permit 16 t Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel �`` 'Z 2 - o` J0 Installer's Name,Address,and Tel.No. _77G 6/ Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms �3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures C c Design Flow c/V�.✓ 2'�/�-'--,� gallons per day. Calculated daily flow `i� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank I Z) l Type of S.A.S. iT Description of Soil vM V-0 svevo Nature of Repairs or Alterations(Answer when applicable) "��� �c f V r— b G v t, ' ( C Ci C V t L z i, a�— y�- 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 EnvironmentalACode and not to place the system in operation until a Certifi- cate of Compliance has be this o Signed D t�-j��­01 Application Approved by Date Application Disapproved for the following reasons Permit No. f" Date Issued ✓ " r f No. ,a / Feeor THE COMMONWEALTH OF M SACHUSETTS Entered_incomputer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLEs MASSACHUSETTS ZippYication for Mt'!6 � f, *p!tem �Con.5truction Vermit C 5 f-- 1 ? Application for a Per to Construct( )Repair( Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No.LVA 04 V D Owner's Name,Address and Tel.No. �.V1 15 Assessor's•Ntap/Pazcel K Nrj'^�'VA7�� - 0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. e I �� l-o We of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) i Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures t ' Design Flow �3W gallons per day. Calculated daily flow gallons. , Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Yti)QS Description of Soil Nature of Repairs or Alterations(Answer when applicable)�1 0` 0� �V V ' +r, L fl v ta 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 ode-and not to place the system in operation until a Certifi- cate of Compliance has been issued b this Signed Da Application Approved by ry Date - ~ Application Disapproved for the following reasons'i a Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of CompC4 ice THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired ( )Upgraded Abandoned( )by C e,f- L.G,,,--v4 C atink,, has been constructed in-acco ance with the provisions of Title 5 and the for Disposal S em Construction Permit No. i dated ®° Jra�-,V. Installer��� p L � ( Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 3 _ f rn -9 Inspector ti v r --, ----------------------------------- No. .,� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS Migotar &pgtem C ngtruction Vermit , Permission is hereby granted to Construct( )Repair( pgrade( )Abandon( ) System located at 41(— co ia-t h A /2,,a A, 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. r' Provided:Construction must be_com leted within three years of the date of this. it. Date: � ,�' " Approved by f It119l91 t � This orm Is To Be Used For the Repair.Of Failed T NOTICE. This F . Septic Systems Only* RA TIFICATION OF SKETCH AND APPLICATIO ITHOUT FO CER `DISPOSAL WORKS CONSTRUCTION PERMIT ENGINEERED PLANS) he certify that the application for disposal works concerning the , construction permit signed by me dated meets all of the property located at `� v following criteria: proposed leaching facility .. V• There are no wetlands located within too feet of the septic t SO feet of the proposed a is system There are no private wells within x There is no increase in now and/or change in use proposed There are no variances Kquested or needed. 5o feet or any wetlands,the bottom of the e f the proposed leaching facility will be located within 2 ed leaching facility will DM be located less than fourteen(14)feet above the maximum adjusted ; proposed nrundwater table elevation- please complete the following: Elevation according to the Engineering Division O.I.S.map) A)Top of Ground O ording to Health Division well map) B)Observed Groundwater Table Elevation(acc DATE: 27 d SIGNED: - i : LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER IAttaeh a thatch vi a"et'eM prep�d Atae irthe llaettad InNaller poa eMM�plot pbn. this plan should be submitted)• r•ko Ndett an �- ____- x �i r C� f O _7 t� T.O.F. EL.= 58.V± FINISH GRADE OVER D-BOX= 56.7't FINISH GRADE OVER CHAMBERS= 56.0' - 56.6'SLOPE�2% MIN. OVER SYSTEM G C N E R A I_ NOTES 3/4"TO 1-1/2" DOUBLE WASHED PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE FINISH GRADE OUTLET TO WITHIN 6"OF F.G. 4"SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT w/ACCESS BOX WITH 2"OF 1/8"TO 1/2"DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 57.0'1 F.G. OVER TANK EL. = 57.2'f 5" DIA. OUTLETS) COVER TO GRADE (SEE NOTE#21) CODE AND ANY APPLICABLE LOCAL RULES. STONE OR GEOTEXTILE FILTER FABRIC FND. EL.= -, -- -- -�- ----- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 1 TOP OF SAS= 53.83' PLACE RISERS ON DESIGN ENGINEER. PROPOSED 4" 9"MIN. + 9"MIN. CHAMBERS w/PIPED 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXISTING 4' ,-., 36"MAX. 53.00 36"MAX. + �� SEWER PIPE ��-� SCH. 40 PVC � BREAKOUT EL= 53.50 INLETS TO 6 OF SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE o o FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN - 6" 31f 3" DROP MAX 3„ 9„ L=45't - 2"DROP MIN PROVIDE WATERTIGHT 000 ELEVATION=53.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A MIN.SLOPE 7% „ �,/ -JOINTS (TYP.) 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF ]3- 4 PVC IN FROM O 0 0 0 O 14" *�J4.rj'f SEPTIC TANK 4 PVC OUT TO o 00, cb THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE - 01LEACHING FACILITY 1.00, oo o o 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN oo o o - THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL 12 , 0 o 0 0 0 o ao 0 0 0 00 6. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 53•40 MIN. 53.23 1.00' �CDk� o ao 0 0 0 coo ao 0 0 0 00 00 °° o0 0 0 0 o ao 00 � o o� o 0 0000 � 000�oo� o0 7• LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE + FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 2.0' - 6.0' 2.0' 3.0' -� 3 0' 3.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX (TMP) 34.9 (TMP`) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE BENCHMARK ELEVATION AS TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 45.00' 9 0� SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET I1.00' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. LC-6 CHAMBERS 5' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,500 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 'CONTRACTOR 10 VERIFY EXISTING � ! � TO THE DESIGN ENGINEER. SEPTIC TANK F''R ??I=ILE DIS-1 IBA �"` SOX L)ETAIL CHAn ,� ELEVATION PRIOR TO ANY WORK& I v I P E '�` 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE --- - -- ------------ -----r- --- /� 11 NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SWING-TIES PERC NO. 21-146;' � • APPROPRIATE AUTHORITY. q • :• , . • ` 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED DESCRIPTION HCA HC-2 . •. • illINSPECTOR: Donald Desmarais(BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR • • �' j� / ;, EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. CORNER OF STONE (1) 37.3' 44.9' �.• ll !I , C.S.E. APPROVAL DATE: Oct. 27, 1999 • !/ . ;; f 11 DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. CORNER OF STONE (2) 39.2' 23.5' MAP 272 � �..,''` • • • •' � DATE: May 24, 2021 ` * • . ` /�' 1/ 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE CORNER OF STONE 3 47.3' 32.4' . • TEST PIT#: 1 O PARCEL 104 • �� dN • h Q rr MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. CORNER OF STONE(4) 45.T 50.2' ST ' •. •��! q / ZONE 2 �y- ELEV TOP= 56.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 126 . • . • FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 8' 3q�20"W ' • . / : �` ELEV WATER= <45.00' S7 �. �`� 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN �►� � .• PERC RATE_ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. • ; _ 1�, s DEPTH OF PERC= 36"-54" 16. PROPOSED PROJECT IS LOCATED WITHIN. It TEXTURAL CLASS: I ASSESSOR'S MAP 272 LOT 98 ► . • OWNER OF RECORD: WHILHEM ALVAREZ SR. &MIA EDWARDS LOCUS • • ` • • • I f • , • • 0" 56.00' ADDRESS: 461 OAKLAND ROAD � b • _ . Fill 1 • j •i 12" 55.00' HYANNIS, MA 02601 ' Oa CIS . + • ,` ' �, g Loamy Sand FEMA FLOOD ZONE X . ,� _ a, � � j N y ' '\' ' ' + 10Yr 5/6 COMMUNITY PANEL# 25001 C0562J J I 00 • • • • ' tr 17. DEED REFERENCE: BOOK 24163, PAGE 211 MAP 272 3 a: 36" 53.00' PARCEL 98 f F 18. PLAN REFERENCE: PLAN BOOK 206, PAGE 57 16,980±S.F. t ►I f /' Loamy Sand J1 50 19. ALL DISTURBED AREAS SHALL 3E RESTORED TO ORIGINAL CONDITION. ._ C-1 __ •, r ,r' • 2.5Y 6/6 50.00' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 72" MAP 272 l- - _ I I • • FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY • • ' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. PARCEL 10-01 - - i _ -1 I It b Zl • Q • 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A O !w • - i'1 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A _ Medium Sand REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. -GRASS- r 1 CJ C-2 2.5Y 6/6 D . .-58.9'± W x�X�.k FL EL a LOCUS PLAN 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL EXISTING 1,500 GALLON O REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. SEPTIC TANK TO BE k S / 3 USED IN THIS DESIGN - Ilzr _ SCALE: 1"= 1009 ��•, X"X #461 06 132" 45.00' 0 EXISTING 3-BEDROOM No Mottling, Standing or Weeping Observed DWELLING l DESIGN DATA I to i I L, i'� I LEGEND PERC NO. 21-146 504' EXISTING SPOT GRADE -LSA- 1 ( INSPECTOR: Donald Desmarais(BOH) 5 TOF=58.V± / NUMBER OF BEDROOMS 3 - - - 50 -- - - EXISTING CONTOUR Benchmark // , EVALUATOR: Michael Pimentel, EIT, CSE Top Comer of Stoop t Q DESIGN FLOW 110 GAUDAY/BEDROOM 50 PROPOSED CONTOUR Elev. = 58.36' a C.S.E. APPROVAL DATE: Oct. 27, 1999 / �p TOTAL DESIGN FLOW 330 GAUDAY Approx. MSL C-1 May 24, 2021 DATE: 50 PROPOSED SPOT GRADE ' W__ I �� DESIGN FLOW x 200 % = 660 GAUDAY TEST PIT#: 2 W-___ / © GAS EXISTING GAS LINE (2) 17" / _ =' HC-2 ^ �r / f w USE EXISTING 1,500 GALLON SEPTIC TANK ELEV TOP= 56.00' Q �' io r ------ p/N/W -- EXISTING OVERHEAD UTILITIES o ELEV WATER = <45.00' 35" STUMP S'�- �Ac / �� ``- W EXISTING WATER LINE T� GAS II INSTALL FIVE (5) LC-6 LEACHING CHAMBERS PERC RATE- - W -GRASS- � 0/h+ - Gq / DEPTH OF PERC- LSA LANDSCAPE AREA /w s � �-EXISTING SAS COMPRISING FOUR(4) SIDEWALL CAPACITY L 4�/+ PROPOSED ` AA INFILTRATORS w/ 4' SURROUNDING STONE & TEXTURAL CLASS: I TEST PIT LOCATION DISTRIBUTION BOX N ,/�, � � � 14" UNDERNEATH (approx. loc. per as-built card). (LENGTH + WIDTH) (2 SIDES) (2' HIGH) {0.74 GPD/S.F.) = GAUDAY �,, / (34.0' + 9.0')(2 ) (7 ) (0.74 GPD/S.F.) = 127.3 GAUDAY EXISTING 1,500 GALLON SEPTIC TANK CONTRACTOR TO REMOVE PORTION OF EX. _.. SAS WITHIN 5 FEET OF NEW SAS & REPLACE „ , 0A w/ CLEAN SAND PER 310 CMR 255(3) BOTTOM CAPACITY 12�� Fill '00� PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE SHED - /w (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY j 0/h (34.0'x 9.0') (0.74 GPD/S.F.) = 226.4 GAUDAY B Loamy Sand PROPOSED DISTRIBUTION BOX \ O'x56 6 / 6 4' (" � \�` o/N I 10Yr 5/6 PROPOSED LC-6 LEACHING CHAMBER \ `�_ �6' t J�; TOTALS: 36" 53.00' \ x56.8' co = TOTAL NUMBER OF CHAMBERS 5 4 x56.5' i EXISTING I REV. DATE BY APP D. DESCRIPTION 347 TOTAL LEACHING AREA 478.0 SQ.FT. Loamy Sand r P 1 - LEACHING C-1 2.5Y 6/6 - V t' CATCH-BASIN TOTAL LEACHING CAPACITY 353.7 GAL./DAY PROPOSED SEPTIC SYSTEM UPGRADE TP 2 56x0' 3) 72" 50.00' PREPARED FOR: PROPOSED FIVE (5) LC-6 , ' ' 6x , - I ROBERT B. OUR CO., INC. CONCRETE LEACHING � �56 56x0 1 � x55.6' � CHAMBERS w/ STONE ` % x56.6' 4) I J X� X X-X X ". NOTES: Medium Sand LOCATED AT PROPOSED / o J X Xyx X X�' ' 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF 1 C-2 2.5Y 6/6 INSPECTION PORT FENCE EACH SEPTIC SYSTEM COMPONENT. 461 OAKLAND ROAD x57.0',._a X-X HYANNIS, MA 02601 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT SCALE: 1 INCH = 10 FT. DATE: JUNE 13, 2021 �G24 7 > DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF 132" 45.00' 1 . 2 MAP 272 HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. N 0 5 �0 20 ao FEET o ,20"Vd No Mottling, Standing or Weeping Observed g78 19, (P�N) PARCEL 99 -- - --- PREPARED BY: 125. 3.) ENTIRE PROPERTY IS LOCATED WITHIN A MASS DEP ZONE II AND GROUNDWATER PROTECTION OVERLAY DISTRICT. RESERVED FOR BOARD OF HEALTH USE o CHU ILL JR. JC ENGINEERING INC. / U 4 8 2854 CRANBERRY HIGHWAY 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY N FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS �Lr EAST WAREHAM, MA 02538 SITE PLAN IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL 508.273.0377 NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. -T SCALE: 1"= 10' � I Drawn By: MCP Designed By:MCP Checked By: JLC JOB No.5733