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0339 SEA STREET UNIT #B - Health
339 B Sea Street EA = nis P 306 048001 I i j a _ .. _ ___ _ � i I I �� '? +� 1 S r� � i � t � �. n� � � -� � � � � � 0 �n � � � � � ,i �� �._ w .____.,_ _� _ _ __ c��a m•>• v K.K4 N >.�'t y,. .y'k p: �._'- .,'y ... r x 'Sc-64� b y 5 rq ' 1 � - �� "-A X f OW f ell 1104 s h w t - b4'�d sa•� ~r y., a c5— ,� � yy .-� [ to t L ?,. r - y;, 4� �F:r 4 T i "f Al As 2,S C."' t'i ;i Z kk >' 9 -etc ff fffff ffff 2y cT,OWN OF BARNSTABLE LOCATION.3� �C Q C S`�S SEWAGE# 0/7—y31 VILLAGE ASSESSOR'S MAP&PARCEL - L(� INSTALLER'S NAME&PHONE NO. -S ccJ A r--, V�®x�A C�f 0 0 4 SEPTIC TANK CAPACITY \A 14 �6X LEACHING FACILITY: (type) &tL qg,14c4size) 2 &) C c� NO.OF BEDROOMS OWNER � C.V S \_04 z C, PERMIT DATE: ,1 6 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet _Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY "Iz- e � Gar• G ta M f1 cq � e [ s le �► e1 ct se le ra 1 ! M Y r6 TOWN OF BARNSTABLE r f LOCATION 2 3'0( S e. -" : C, to SEWAGE# nLAGE �1\,�5` �'(ASSESSOR'S MAP&PARCEL, b A �� INSTALLER'S NAME&PHONE NO. �p I; SEPTIC TANK CAPACITY a LEACHING FACILITY:(type) n(size) NO.OF BEDROOMS OWNER 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), Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet a FURNISHED BY ' • � f w � � i � _ � I �` _ 9-� s;y \ q� ` M �%+" .. �.:b-, i � .... � �, _ �' �, �,;� . � �---- ,,;.F-$ � . �.. � . No. Fee �t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippliLatlon for Misposal *pstrm Construction Permit Application for a Permit to Construct(, ) Repair(✓Upgrade( ) Abandon( ) t Complete System ❑Individual Components Location Address or Lot No. c CSn 1A Owner's Name,Address,and Tel.No. Assessor's Map/Parcel — L4 Lev to Installer's Name,Addr ss,and Tel.No. Designer's Name,Address,and Tel.No. scv "3 eve kACC j sbzl 36 kt3a 6 Ob o0 M 6l Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grindko) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �;�(, gpd Design flow provided S gpd Plan Date `'� �, / (1 Number of sheets_ Revision Date / 70 h-7 Title Size of Septic Tank kMo G&L, -kc„nk Type of S.A.S. �{ �4(� -5�,�.— ��� C LxCAb-,Cr Description of Soil Nature of Repairs or Alterations(Answer when applicable) �kp yJ.,P, rP X I Sh n&j r e SStQ 0 n L J 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 Boar of Health. Signed Date Application Appioved by Date C 3 0 Application Disapproved by Date for the following reasons N Permit No. �� 1 Date Issued r No. Fee "j THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ltI�ILAtIq,n for B;[sposal *ppom Construction Permit 6 A lication for a Permit to Construct Repair U ade-( Ab�don Complete System' ❑Individual Components PP ( ) P ( PSi ( ) ( ) Location Address or Lot No. Sec, S , Owner's Name,Address,and Tel.No. Assessor's Map/Parcel (� -- ! ' �^,� �GI('LV S Lcou Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. \X-S Utd ��cti.v�'M� �5kcvC 1AcGS S•6ll36a%133 (c��. c LC961 S-OX jci4 l061 .O 0,vw (co QUA . nI Me.- Od(06 k a Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grind&(O) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SOO gpd Design flow provided gpd Plan Date / / (`� Number of sheets ( Revision Date Title ' Size of Septic Tank k S96 GGL -kc Nk Type of S.A.S. Q !;-0 U &a C 1nr.,V\b-f- Description of Soil Id - A-k �i / Nature of Repairs or Alterations(Answer when applicable) C� px N Si S• 0 0 L 3 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 y Compliance has been issued this this Board of Health. Signed �) ! Date / Application Approved by t.-- h Date / ' ° ' 12 Application Disapproved by Date for the following reasons N �ry Permit No. 1 I Date Issued �` �0'- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS . Certificate of Compliance THIS IS TO CERTIFY,that,�the On-site Sewage Disposal system Constructed( ) Repaired(v/ Upgraded( ) Abandoned( )by SC O W at �}3� � c G S ��. /\n a has been constructed.in accordance , with the provisions of Title 5 and the for Disposal System Construction Permit No. aZ0/ -I�3� dated Installer N M �t r�l�. Designer v #bedrooms Approved design flow gpd The issuance of this permit�shall no/t/b+e�'c�onstrued as a guarantee that the system will fu cfion�as designed^� Date / /! / Inspecto�r� - TM \µ --------- -- •---- ----- - - ------------- -- ---------------- ---------------------------------------------'--------- No. go 17 — L1/3' Fee po THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(LX Upgrade( ) Abandon( ) System located at e �G� S f 4)e c�&N t5 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- - r- 3L r Date Approved by U Town of Barnstable Regulatory Services Richard V.Scali,Interim Director ' Public Health Division '~ Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: t Sewage Permit# )011 — y 31 Assessor's Map\Parcel 30� �— Designer: ' P t'FEt-3 X. k A k>,PC Installer: 15 M• �� Address: Y 0- -50k IL. Address: tE3 oc-Z.�, Y&WOU-T-k � C7 Z lea® On i ? SW F-9- was issued a permit to install a (date (installer) septic system at 339 El 5RG S' 4)��AAtS based on a design drawn by (address) Pr#VN&I dated 1 I13 6 (designer) 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 ' ince with the terms of the I\A approval letters(if applicable) (installer's Signature) I (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM A1IID AS- BUILT CA"ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QaSeptictDesigner Certification Form Rev 8-14-13.doc Town of Barnstable P# 4 ' Departinent of Regulatory Services s F. Public Health Division Date -� MAM raja 200 Main Street,Hyannis MA 02601 Date Scheduled �C-' t,;71X ' Time _ Fee Pd.— Soil Suitability Assessment for. •ge Disposa _, �TL-P/f�x—� i► 15• r�L 1� I Performed-By: Witnessed By: ` LOCATION&.GENERAL INFORMATION Location Address ) Owner's Namo • . •3 �� �' Sec, S � • .t�'y�n•��s M e.�-,J,5 C.c.:cs 6<_ Address Assessor's Map/Parcel; ` 3a f G p Engineer's Name NEW CONSTRUCTION REPAIR Telephone# 3 ba t 3 Innd Usc• �� 1�6w�T/t Slopes(96) Z Surface Stones czi Distances from: Open Water Body ft Possible Wot Aroa ft Drinking Water Well ft Dralhage Way 1 ft Property Une �� t ft Other ft SKEt TCHe(Street name,dimensions of lot,exact locations of test holes&poro tests,locate wetlands-in proximity to holes) • �I �z A Parent material(geologic) �T 1-� Depth to Bedrock Z 'G' r Depth to Oroundwater. Standing Water In Hole:- A_)1,01, Weeping from Pit Face N 14 Estimated Seasonal High Groundwater N` A- _ .DETERIYIINATION FOR SI;ASQNAL'IIIG 'WATT�R TABU Method Used: iy De lh Obeorved standing in obs,hole; _ in, Depth io sell mottles In.' Do th to weeping from side of obs.hole: In, Oroundwater Adjustment t. index Well-0 Reading Ddte: Index Wall Adj,•factor,,,,•...,_,,._Adj.Oroundwnter•Laval,.._. PERCOLATION TEST Date /f a/ Time /°%'"a Observation Hole# ' a Time at 9" Depth of Pero Time at 6" Start Pro-soak Time @ �'uc• _ Time(911•6") End Pro-soak GAS% Rate Mln./Inch Site Suitability Assessment. SlIe Passed X Sity Fa11od: Additional Testing Nooded(YIN) Original:'Public Health Division Observatton Hole Data To Be Completed on Back--�--- ' ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:1SBP'TICIPBRCFORM.DOC' DEEP.OBSERVATION HOLE LOG Hole# _ Depth from Soli Horizon Soil Texture Shcl Color Sall. Other Surface(In.) (USDA) (Munaell) Mottling (Structure,Stonest;Boulders. telstoncy.%'aravall • Za ,r � �S U•Y� 3� 30 DEEP OBSERVATION HOLE LOG Hole# 2-- Depth from Sall Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munaell) Mottling (Structure,Stones,Boulders. Mll C30 L S /v DEEP.OBSERVATION HOLE LOG 11010# Depth from Soil Horizon Soil Texture Sall Color 'Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sall Texture Soil Color Sall Other Surface(in.) (USDA) (Munaell) Mottling (Structure,Stones;Boulders, I+lood Insurance Rate Man: Above 500 year Mood boundary No— Yes X__ Within 500 year boundary No A Yes Within 100 year flood boundary No. k Yes J)el)th of NaturaUv Occurrine Pervious Mitterial Does at least four feet of naturally occurring pervious material exist in all areas observed thrpughout the . . area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material?�:__...... Certification I certify that o n ll �`� g (date)I have passed the soil evaluator examination approved by the Department of Environment 1 Protection and that the above analysis was performed by me consistent with . the required trainin se and experience described in�10 CMR 15.017. • - �� �� L�17 Signature Date Q;1AHj-rl 1PBRCPORM.DOC No. 4 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: VYes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippliLation for ]Disposal *pstem (Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System 2/Individual Components Location Address or Lot No. 3G` Q 1 Owner's Name,Address,and Tel.No. ( 1c—rw`a 1,c_u6C. Assessor's Map/Parcel 3 W 10 Installer's lime,Address,and Tel.No. �� Designer's Name,Address,and Tel.No. �cA ` i�3 '0l1 YC_rh0 Type of uilding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I�L p jj14 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. P Signe Date Application Approved by j Date Application Disapproved by Date for the following reasons Permit No. C:�o/ Z Date Issued (P r No. / Fee .75 THE COMMONWEALTH OF MASSACHUSETTS Entered in computerVYes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplitation for disposal *pstem Construction 3dermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System H/Individual Components Location Address or Lot No.3 3c� 11� S ec, S\ Yon,) i Owner's Name,Address,and Tel.No. (ne-rc.s5 I,-c�v6C_ Assessor's Map/Parcel 3 Q(o l6 661 Installer's me,Address,and Tel. o. �� Designer's Name,Address,and Tel.No. ScoL't cL, 02 0l �cr��.o Sb X L( (56 t>� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) 4 Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)�Q Cil, P-,)c k 5�T k r,�G, I _ C r U/mil \ �v�c O CeS Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 1-7 Application Approved by '�- Date Application Disapproved by Date for the following reasons 71 Permit No. 1 -7 "` Date Issued (O f n THE COMMONWEALTH OF MASSACHUSETTS (� C !� 1 a BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(1/) Upgraded( ) Abandoned( )by S( )A at _5� \-S V t has been constructed in accordance with the provisions of Title 5 and the for Disposal m Construction Permit N13 17 17� dated Kam2 . Installer C C� � ��. Designer #bedrooms Approved design flow and The issuance of this permit shall not be constJ ed as a guarantee that the system will functio as-designed. Date fft} p Ins ector ---------------------------------------- ----------------------------------------------------------------------------------------- No. � '� o Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS C Misposal :�Ppstrm Construction Permit Permission is hereby granted to Construct( ) Repair V) Upgrade( ) Abandon( ) System located at �35 (� S-r-C, 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 omple 6d within three years of the date of this Sy-,,_ mit. Date �� � Approved I COMMONWEALTH OF MASSACHUSETTS �` t EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . i DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP PARCEL LOB` TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT_S i SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM_ PART A CERTIFICATION i RECEIVED Property Address: 3139 B Sea Street Hyannis, MA MAC 18 2004 . Owner's Name: Carolyn Pierce Owner's Address: i TGV tv OP BAFiIVaTABLE HEA'ITH DEFT, Date of Inspection: i Name of Inspector.(please print) Wi 11 i am E_ •Robinson Sr. Company Name: William E. Robinson Septic Service �I Mailing Address: P O Box 1089 Centerville, MA Telephone Number:_ _'(508) 775-8776 - CERTIFICATION STATEMENT I certify that 1 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 15340 of Title 5(310 CMR 15.000). The system: I Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Sigtiattfne�t� � / Date: — `8 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heattlrot 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 approvirig authority. Notes and Comments i I i ""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.11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 339 B Sea Street Hyannis, MA Owner: Carnl yn Pi-ereP Date of Inspection:.? 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 1 . 03 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated.below. Comments: B. Sys em Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to he replaced or repair d.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass: Ans er yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please exp in. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally un ound,exhibits substantial infiltration or exhitration or tank failure is imminent System will pass inspection if the ex' ting tank is replaced with a complying septic tank as approved by the Board of Health. • metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance in i ating that the tank is less than 20 years old is available: ND xplain: Observation of sewage backup or break out or high static water level in the distribution box due to-broken or obs cted pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with app oval of Board of Health): broken pipe(i)are replaced` obstruction is removed distribution box is leveled or replaced ND xplain: The system required pumping more than 4 times a year due to broken or obst tmied pipe(s).The system will pass in ection if(with approval of the Board of Health): broken pipe(s)are replaced '4 obstruction is removed ND explain: Page 3 of I 1 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 339 B Sea Street Hyannis, MA Owner: - Carolyn Pierce Date of Inspection: . G 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 I5,303(1)(b)that the system not functioning : .ntn in a man ner which w' Y I; 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. Sys m will fai l it unless the y Board of Health(and Public Water Supplier,if any)determines that the system i 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 sur cc water supply or tributary to a surface water supply. The system has a septic.tank and SAS and the SAS is within a Zone I 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 Gout a rivate water supply well•• Method used to determine distance •• s system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bact 'a and volatile organic compounds indicates that the well is Gee from pollution from that facility and the resence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other fail a 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: 339 B Sea Street Hyannis, MA Owner: Carolyn Pierce Date of Inspection:. D. System Failure Criteria applicable to all systems: You must indicate`yes".or"no"to each of the following for all inspections: Ye 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 elogge&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 isless"than'/,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 I of a.public well. — Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet front a private Aaw supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed at a DEP certified laboratory.,for coliforrn 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(his forma (Yes/No)The system fails.1 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: T be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000 pd. ou must indicate either"yes"or"no"to each of the following: to following criteria apply to large systems in addition to the criteria above) ye 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 drutking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—1WPA)or a mapped Zone 11 of a public water supply well If yo have answered"yes"to any question in Section Edit system is considered a significant threat,or answered "yes"tn'Section D above the large system has faried.The owner or operator of arty 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 ov.-ner should contact the appropriate regional office of the Department. 4 Page S of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 339 B Sea Street Hyannis, MA - Owner. Carolyn Pierce Date of Inspection: 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 introducedto the system recently or as part of this inspection T. j� _ 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 ortees,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 mainte cc of subsurface sewage disposal systems? i The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no op _ 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 unJcceptable)1310 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: 339 B Sea Street Hyannis, MA . . Owner: Carnl Yn Pi -r _ Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):. Number of bedrooms(actual) 0 d It .�,.� 0 example: 110 x of bedrooms): . DESIGN flow based on 310 CNIIt 15.2 3(for xamp gp Number of current residents: 6- Does residence have a garbage grinder(yes or no): Is laundryon a separate sewage system es or no [if es separate inspection required) Laundry system inspected(yes or no): (Y ) Y P P P g Y Seasonal use:(yes or no):(0 Water meter readings,if available(last 2 years usage(god)): 0 3./0 3 to `1 2/03 102, 0010 Sump pump(yes or no): o 103 1 6 0, 5 0 0 Last date of occupancy: CO ERCIAL/INDUSTRIAL T e of establishment: esign flow(based on 310 CMR 15.203): gpd asis of design flow(seats/persons/sgft,etc.): rease trap present(yes or no):_ 1 du trial waste holding tank present(yes or no):— No. sanitary waste discharged to the Title S system(yes or no): Wa r meter readings,if available: Las ate of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part 6k the inspection(yes or no):tfb If yes,volume pumped:�gallons-=How was quantity pumped determined? 564 6[6 Reason for pumping: /r b � Pr wpr_ 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):_('ary io\ Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no)9�'� 6 I;agc 7 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 339 B Sea Street Hyannis, MA Owner: Carolyn Pierce Date of Inspection: BUI ING SEWER(locate on site plan) Dc th below grade: M serials of construction:_cast iron 40 PVC other(explain): Dis nce from private water supply well,or suction line: Co ents(on condition of joints,venting,evidence of leakage;etc.): SEP IC TANK:`(locate on site plan) De th below grade: terial of construction:_concrete metal fiberglass_polyethylene other(explain) f tank is metal list age:_ Is age confirmed-by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: istance from bottom of scum to bottom of outlet tee or baffle: Ho We dimensions determined: Comore is(on pumping recommendations,inlet and outlet tee or baffle conditicn,structural integrity,liquid levels as related o outlet invert,evidence of leakage,etc.): GREAS TRAP:_(locate on site plan) Depth Blow grade:_ Mate sal of construction:_concrete metal fiberglass__polyethylene_other (cx ain): _ _ D' cnsions: S in thickness: D stance from top of scum to top of outlet tee or baffle: stance from bottom of scum to bottom of outlet tee or baffle: to of last pumping: C mments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): ` 7 Page 8 of i l OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSME NTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address• 339 B Sea Street HjzanniG� MA Owner: rarnl un Pie ce Date of lusper'tion: TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site.plan) Depth be w grade: Material f construction: concrete metal fiberglass polyethylene other(explain): Dimension Capacity. gallons Design Flo : gallons/day Alarm prese t(yes or no): Alarm level Alarm in working order(yes or no): Date of last pumping: Comments condition of alarm and float switches,etc.): DISTRID ITION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comment (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.): r PUMP CHAHIBER: (locate on site plan) Pump in working order(yes or no): Al s in working order(yes or no): w Co ents(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C - SYSTEM INFORMATION(continued). Property Add ressQ39 B Sea Street H}4anni s., MA Owner: Cgrnl rn Pi Prre Date of Inspection: 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.): CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to in 4gt invert: Depth of solids layer: t/ Depth of scum layer: f4 1' Dimensions of cesspool: 4 ydr Materials of construction: Indication of groundwater inflow(yes or no):-A Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) aterials of construction: me ns: Deh of optlids: Commen note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 1 l v OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 339 B Sea Street Hyannis, MA Owner: Carolyn Pierce Date of Inspection: 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. Je.eS�vnn�f I 1 � 10 pages l 1 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 339 B 'Sea Street HyanniGf MA Owner. rgrnl jrn pierce Date of Inspection: SITE EXAM Slope Surface water Check cellar. Shallow wells X Estimated depth to ground water 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: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must de tribe how you established the high ground water elevation: i I1 Commonwealth of Massachusetts Awn: Title 5 Official Inspection Form � �4,/4s6, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments s ,M 339B Sea St. Property Address .Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out I�j1 forms on the U computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 rum City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7/14/2010 Inspector's Signatu a Date Th, - -A 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=-gr 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. V t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disp; all System•Page 1 of 17 � I common Iwealth of Massachusetts Title '5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. i wM 339B Sea S;t. Property Address Marcus Laube Owner Owner's Name information is H annis I Ma. 02601 7/14/2010 required for y every page. City/Town i 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 31�0 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Commeits: The septic system is in proper working order at the present time. 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 B 66rd of Health,will pass. Check the box for"yes", no or not determined (Y, N, ND)for the following statements. If'not determine!," 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. i *A metal leptic 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): i t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface`Sewage Disposal System Form - Not for Voluntary Assessments ,M 339B Sea St. Property Address Marcus Lautie Owner Owner's Name information is required for y H annis I Ma. 02601 7/14/2010 t t Zip ode Date f Inspection every page. City/Town � Sae p C a e o 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): 1 ❑ 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): ❑ I broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑. N ❑ ND (Explain below): C) Furth Ir 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 land the environment: ❑ Cesspool or privy is within 50 feet of a surface water i ❑ I Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 i 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 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters 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 . El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 339E Sea St.1 Property Address Marcus Laube Owner Owner's Name information is required for Hy annis ` Ma. 02601 7/14/2010 every page. City/Town I State Zip Code Date of Inspection B. Certification (cont.) Yes i No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ 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. I t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I I i Commonwealth of Massachusetts Title 5' Official Inspection Form Subsurface)Sewage Disposal System Form -Not for Voluntary Assessments f �nM 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is H annis ` Ma. 02601 7/14/2010 required for Hy an page. City/Town State Zip Code Date of Inspection C. Checklist Check ifthe 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): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 II t5ins•09/08 I Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title ';5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 339E Sea S,t. Property Address Marcus Laube Owner Owner's Name information is Hyannis I Ma. 02601 7/14/2010 required for y every page. City/Town State Zip Code Date of Inspection D. System Information Description: l ' C Number of current residents: 3 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 m Iter readin s, if available (last 2 years usage (gpd)): 2009:71,000 g 2009:71,000 Detail: 2008:170 gpd 2009:195 gpd i Sump pump? ❑ Yes ® No Last date of occupancy: Date 010 Date Commercial/Industrial Flow Conditions: Type of E Itablishment: Design flo i(based on 310 CMR 15.203): Gallons per d P Y(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease tra I present? ❑ Yes ❑ No Industrial wlaste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 l Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 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: Was system pumped as part of the inspection? ® Yes ❑ No If yes,volume pumped: 1500 gallon gallons How was quantity pumped determined? Measured Reason for pumping: Maintenance Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 i Commonwealth of Massachusetts L W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 339B Sea St. Property Address) Marcus Laube Owner Owner's Name 1 information is ` Ma. 02601 7/14/2010 required for Hyannis every page. City/Town I State Zip Code Date of Inspection D. System Information (cont.) Approximate to age of all components, date installed (if known)and source of information: Were sew)` 9 a odors detected when arriving at the site? El ® No Ig Building Sewer(locate on site plan): it 2' 16" Depth below w grade: feet Material of construction: ® cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+ I feet Comments (on condition of joints,venting, evidence of leakage, etc.): Joints appear ar ti ht.No evidence of leaka e.S stem vented through the house vents. pP 9 9 Y Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: i Sludge depth: t5ins•09/08 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts - Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 339E Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 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 339E Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010. every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwe Ith of Massachusetts - Title 5 'Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 339E Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. Cityrrown ` State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ 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, tc.): Sandy soil.No signs of hydraulic failure.Pit was dry at time of inspection.Stain line observed 29" below invert. i Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Spilt system 2 main 2 Number andi configuration overflow and 1 pit Depth—top of liquid to inlet invert 1 6" 4" Depth of solids layer Depth of scum layer 0" 3" Dimensions of cesspool 6x8 I Materials of onstruction Concrete Block Indication of groundwater inflow ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Front system: No signs of hydraulic failure.Main CP was full.Overflow CP was dry Stain line up to invert.Pit was dry.Stain line 29" below invert.Rear System:Main CP full to invert.Overflow CP water level was 30" below invert.No stain line observed higher. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer —Custom Map Abutters Map Size OEM Zoom Out I j In `1 11 IC R P L M 1 � 5 ATr a I I w r C 5a Lln �k 0-0 0 20 Set Scale 1" = 20 I I Aerial Photos I MAP DISCLAIMER r`nn,Irinkf')r)Or_')010 Tnl.ln of Rnrnefohle RAA All rinhfe rocm— f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of CP feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 339B Sea St. Property Address Marcus Laube Owner Owner's Name information is required for Hyannis Ma. 02601 7/14/2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information-Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 LOCATION SEWAGE PERMIT NO. VILLAGE ��6,n/5 IN TA LL R'S NAME i ADDRESS �e BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED T d cjel O TOWN OF BARNSTABLE � ✓ .LCY'AT10N 3?J�A •�-�1§�I SEWAGE #006"006 ILLAGE T1VA�F,1lllaS,._ . M ASSESSOR'S MAP & LOT '�13 INSTALLER'S NAME&PHONE NO. aft s v — ava"yam-S-6-019 SEPTIC TANK CAPAC Ca s000r9!• y l LEACHING FACILITY:.('type)A(/G, P4ciT) X,,j l iXiv e) DJ NO.OF BEDROOMS BUILDER OR O, $ PERMIT DATE- ~o1+6C9 COMPLIANCE DATE: I-A3 9 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 ITO, .ti �J N�tCA W d� vo lij � v CO No......81-3 A7 Fps...$...5...00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH of .................... - 'T.own...... ....Barns.................................tl ........................................ Applirativu for Uiiivuiial Works Tonstrurtirlu rtrutit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: ---------------------- --------------------------------------------------------------------------=----------------------- Location-Address or Lot No. Josiah iah.Cook........................................................................ _33.9.B Sea•St: Hyannis..-MA 02601 - .. Owner Address a A 8c B Cesspool Service.... _128 Bishops Terrace, Hyannis....MA.._02601 Installer Address Type of Building Size Lot____ .....__._Sq. feet U Dwelling—No. of Bedrooms...... --------------------------------------Expansion Attic ( ) Garbage Grinder ( ) a Other—Type g p .__.____ Showers ( ) — Cafeteria ( ) Other—T e of Building No. of persons.................2 P4Other fixtures --------------•-•••----•• .................................... W Design Flow._.._.__._:•._----•_____________•-•_ ........gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width---------------- Diameter.................Depth_-______--___. x Disposal Trench—No. .................... Width.........._--------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date---------------------------------------- � Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water-__________._______-___. 0-4, Test Pit No. 2................minutes per inch Depth of Test Pit__._____--__________ Depth to ground water-.____-_.-_-•___-______- -------------------•-•-----------------•--•------------------------------------•-•---•-•-------•---......................................................... 0 Description of Soil.................Sand..................... x W -•-•-•......••- ------------ ------------------------------------------------------------------------------------------................................................................. U Nature of Repairs or Alterations—Answer when applicable_lnst a1la,ti-on---of-a--1-000---gall on•••pre-cast, stone...packed•.leach_•pit---�oyErflow�-.••••_-•----•---_•--•••••••__•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with f'lT�•1�^ the provisions of 'T t .,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beep iss ed'by the bga,0Zf lth. Signed.. .. _ x 61P15181........ Application Approved By...... �2�= --- --- ...............6..1. .81------. Date Application Disapproved for the following reasons:....................................................................--......................................... --•-•.......•••••-••----•-...•••-----•-•-•••••-••-••••••-•-.......••••••--•-••---•-•••••--•••-•-••--••....---••--••••----•------•••--•....--•••-••-•-••-••......-•••••-••••---••-----------••---......__. Date ----------------------•.._.....-------- Issued._.....�_- Permit No81..................................................... 6 151 81 No-----81-_ 7 FE$... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ...........Ttom....OF....IB =.tAb1e---------------------------------------------------------- Applira#ion for Diipniial Works Tontitrurtion Prrntit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: .....n6a...................... -•------------------------------------------------------------•----------------------------------- -- Location-Address or Lot No. Josiall..�041�. -------- er-------•-------•------------------------- Tess -1"A----026Q1 Owner Address a A--& B_Cesspool- _F_a 128_BishoTa_-Terrace,__-H,yaianis_,--MA-_-_02601--- Installer Address Type of Building Size Lot................. .........Sq. feet Dwelling—No. .of Bedrooms...........3...............................Expansion Attic ( ) Garbage Grinder ( ) P-4 Other—Type of Building ............................ No. of persons.................?........ Showers ( ) — Cafeteria ( ) QI Other fixtures ._....--_-_..................... WDesign Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity...........gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............................................ ----------------------------- Date........................................ aTest Pit No. 1................minutes.per inch Depth of Test Pit.................... Depth to ground water-----------.----._-...-. (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix -------------•-•------------------------••••--•----------------...........................----_...•.......................................................... ODescription of Soil----............5!-.........--•--•-••----•-----------------------------------------••-------•-------•---------.................................................. x W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable.installation__of'_a__1,000___gallon__pre-Cast, storne_.packed-_leach pit__(oyerflow)................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT LE,p ' % 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beerl iss ed by the b ,of he`lith.. S ................. ;, 6�1��81 - • ---. . igne 1- � - -- -- Application Approved By........ '- s ---..--•------•-•------ / 6{ -ate - Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------•-••----------•--•-•. ------•---•-••..••--•--------•---•----------------------------••--------................•---•----------...---•----•--•----------------------•----•--------------------------------------...-------------- Date PermitNo81-.................................................... Issued.....6/15�81.................................. Date THE COMMONWEALTH OF MASSACHUSETTS S BOARD OF HEALTH T own..................OF....Barnstable ...................................................... wErr#ifirair of Toutpliattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X ) by'A.&--B... ol...5eX.Y i sktQPj%.T.0 -jiyannia.►---V%----02-0-1............................................. Installer at----339--8....Sea.sty.,..Hyawri la...k..•.02601-------"------. Josiah__Cook------------------------------------------------------------------ has been installed in accordance with the provisions of TITLE; j of The State Sanitary Code as described in the application for Disposal Works Construction Permit Ng1------- ._:21>............... da.ted.-...----V!5/81_..................... THE ISSUANCE OF THIS .CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. y� DATE-//L/91.......................................................... Inspector.....-- ` ll'/ ---...----•.------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town OF ...................... .................. .....................................................No...81-._... FEE.........$.....5....0....0 ... Dispoti tl Works C�nntrnr#inn ramit Permission is hereby granted & B Cesspool Service, 128 Pistiops Terrace, Hyannis, YA, 02601 ................. to Construct ( )) or Repair (X ) an Individual Sewage Disposal System at No-.384--A....Sea_St. , Hyannis, NA-- 02601 -..Josiah----Cook Street as shown on the application for Disposal Works Construction Permit No$1:.� Dated..._.._ .. bml G.- -------------- Boar of�Ilealth DATE---------./---••-�81 2-•----------•-•---......•------------------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS i O y Cb 2 X 9 KOM z6fs C� CUD x - S N I � \ �. X � INIS CI:��T zxaruxac,>o1s>3 rn your re lucky t-qet73 ana) 0{. — \\ C; - N ON N w � � z i Q rn j � N ; zz ! Z I = < QL\ rn . j -LL j - 1 ACCESS COVERS MUST BE WITHIN 9" MINIMUM. I l V VER l EL C VA T I ONS : DESIGN CR I TER i A : GENERAL NO TES : 6" OF FINISH GRADE 3' MAXIMUM COVER 105.97 FIRST 2' TO INVERT AT BUILDING: 103.0 DESIGN FLOW: BE LEVEL MIN 2" OF PEASTONE INVERT IN SEPTIC TANK. 102.5 5 BEDROOMS AT 1/0 G.P.D. PER 1. THIS PLAN /S FOR THE DESIGN AND CONSTRUCTION OR F I L TER FABR 1 C i NVER T OUT SEPTIC TANK: 102.25 BEDROOM £OVAL S 550 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4- D/AM Pipe INVERT !N DlST. BOX: l02 07 314' - 1 112" DIA. s /03.0 c� l02.25 IDl.9 $� 2' Bo DOUBLE WASHED STONE INVERT OUT OIST. BOX: I01.9 NO GARBAGE GRINDER 2. VERTICAL DATUM lS ASSUMED. FOR BENCH MARKS l0 .5 BAFFLED 102'07 1 l0/'7 ]I[:::] �' 99'7 INVERT IN LEACH CHAMBER: 101.7 SEPTIC TANK REQUIRED: SET. SEE SITE PLAN. 3 OUTLET 4-500 GAL LEACHING CHAMBERS BOTTOM OF LEACH CHAMBER: 99.7 550 G.P.D. X 20OX - //00 GAL. J. ALL CONSTRUCTION METHODS AND MATERIAL$ AND D-BOX W14' STONE AROUND. 12.8's x 42'1 x 2'd ADJUSTED GROUND WATER: MIA SEPTIC TANK PROVIDED: 1500 GAL. MIN, MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL H-20 OBSERVED GROUND WATER: N/A CONFORM TO MASS. A.E.P. TITLE 5 AND LOCAL SEP T l C TANK 6` CRUSHED STONE OR BOTTOM OF TEST HOLE l: 94.5 COMPACTED BASE SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. DESIGN PERC RATE C 5 M/N/I NCH PROFILE : NOT TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER N 550 GPD / 0.74 GPD/SF - 743 S.F. REQUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 4-500 GAL LEACHING CHAMBERS W/4' STONE AROUND. A-757 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR 757 S.F. x 0.74 - 560 G.P.D. APPROVED EQUAL. SOIL TEST PIT DATA& 6. SEPTIC TANK AND D-80X SHALL BE REINFORCED PRECAST CONCRETE OR APPROVED POLYETHYLENE. INDICATES ERCOLATI � INDICATES PERCOLATION BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER PERCOLATION � OBSERVED TEST - GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE TP sl Ps15515 TP *2 OUTLET. HOR I ZON TEXTURE COLOR HORIZON TEXTURE COLOR J BEFORE CONSTRUCTION CALL "D/G-SAFE".. S 85°47'S2`E 0' ro4.s o• ro4.s 233.09' LOAMY IOYR LOAMY IOYR '4 SAAV 3/4 A SAND 314 1-888-D 1 G-SAFE AND THE LOCAL WA TER DEPT. 201 - - - - - - - - - - - - - 102.8 18- - - - - - - - - - - - - - - - 103.0 FOR LOCATION OF UNDERGROUND UTILITIES. B LOAMY IOYR B LOAMY IOYR SAND 5/6 SAND 5/6 30` - - - - - - - - - - - - - - - 102.0 30` - - - - - - - - - - - - - - - 102.0 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE / C SAND 6/8 SAND 6/8 N-COARSE IOYR Cl MEN-COARSE IOYR DESIGN ENG 1 NEER TWO DAYS PR!OR TO CONSTRUCT!ON SA 104.3 OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE CONSTRUCTION INSPECTIONS. <\ h +104.7 46` -- 9. EXISTING CESSPOOLS TO BE PUMPED DRY AND 80047 50-E ��� +1os.1 BACKFILLED. / o /✓EDGE 65.9/ • ! 12 NO VArER 94.5 120. NO *4TER 04.5 1 CESSPOOL OVERFLOW ' t - - _ DATE: OCTOBER 31. 2017 1 104.4 ! -u __` TEST BY: 3TEPhCN HAAS ••••••• TPf2 ! WI TAESSED BY: DONALD DES94RA I S t E , ........ ... N PERC RATE?.. 2 MIN/INCH 1500 GALLON LOTB , SEPTIC TANK D_BOX .'.i',( •••. 1 E IS . . :. ��,. IO r \ +105.3 24. 990'- S.F. 104,3 .... .''........... '! / �\ r c ! r DWELL ENG + ....'.'. ... AZ• ��i 105. 1 /l + VARIANCES REQUIRED : _`�! 4-SOO�GvlLLON � J j ---------98--- 1A ACHING CHAMBERS N l i'W/4• STONE AROUND P TITLE 5. MAXIMUM FEASIBLE COMPLIANCE SECTION 15.2I1:(1) MINIMUM SETBACK DISTANCES 20' IS REQUIRED BETWEEN THE SAS AND THE FOUNDATION. 15' IS PROVIDED. ° 4/,V6 A 5' VARIANCE lS REQUESTED. r i BM. MAG SEr 105.2 1 ! EL-105.25 k\ PAYED A4RA/Af0 ° '.�� �. , S E P T I C S Y S T E`M D E S l C N 339 8 SEA STREET T . MAP 306 . PARCEL 48 - l BARNS TABLE , � HY.4NNIS MA . PREPARE© FOR of _ T'",.; � x'- v a- � / LEENI M A R C l.J S L_ A U B E a _ / ■ CB CONCRETE BOUND �r/3' S CAL E I - 20 NO V ffA4 B E R 17 . 2017 L OCU ,, Gos oaD st. --W WATER L l NE REVISED: NO VEMBER 30. 2017 (5 BEDROOMS O HYDRANT GAS G OVER HEAD �STEPHEN A . HAAS OHW- .OVER HEAD WIRES # LIGHT POST ENGINEERING , INC -'--E-- UNDERGROUND ELECTRIC LINE / = P . U . Box 16 --T UNDERGROUND TELEPHONE LINE South L7 ee n n l s , MA 02660 HYANNI S HARBORIli -CTV- :UNDERGROUND CABLEVISION LINE S /`� '1 \ ( 508 ) 362--8 '1 32 +40.4 ISPOT ELEVATION ------40------- 'EXISTING CONTOUR LOCUS MAP D t O 20 40 f4o1 PROPOSED CONTOUR JOB NO: 17-03 I