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Home My WebLink About0093 SECOND AVENUE (HYANNIS) - Health 93 SECOND AVENUE Hyannis A = 267 - 007 s 0 A it I� TOWN OF BARNSTABLE LOCATION 43 Se enna A V E - SEWAGE# o7D/D =333 VILLAGE �j fn'� ASSESSOR'S MAP&PARCEL QL-7 - `7 - INSTALLER'S NAME&PHONE NO. B ve B EX ea uaq i o✓� SEPTIC TANK CAPACITY / � LEACHING FACILITY:(type) T,,rj ; (size Hres.�InrS CaNI ' 9x3a� NO.OF BEDROOMS OWNER r a PERMIT DATE: . -2 - J0 COMPLIANCE DATE: Ell r1f 0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching,Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet `` FURNISHED BY AI Az',`�g 32 - 161z 33- � C3- ' � Rcar ..DwClliv�o� A a c o u No. L v10 J✓ Fee `V v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplication for Vspo8al *pstrm Construction permit Application for a Permit to Construct( ) Repair(`upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9�j (1 V e Oker's Name dress,and Tel.No. D$ 171- 105 Assessor's Map/Parcel ® 4 n n I70 p �,Qd(P y l` taller's Name,Address,and Tel.No5og-L47-7-Ob 53 signer's Name,Addres and Tel.No.fr Sag•3(�2-y 5 ,BtsE�CLQVCL+Idn GUn + � Or 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 2 Design Flow(min.required) 3 gpd Design flow provided 33 5 6 gpd Plan Date —�7-)14'1 0 Number of sheets Revision Date Title+tP (1 Sgac Plo M Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 k?f 1 n Application Approved by Date ;- rd Application Disapproved by Date r for the following reasons Permit No. .9-G 10 3 3 Date Issued r y ' ' 'Polo 4� t r� uA -�a: 4i fff.`/3Ar,Oj y /0 No. � ,a..�:`',# � vs ;'t --'"`i��t' �!` � Fee THE COMMONWEALTH OFF MASSACHUSETTS �� Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes Roticatlon for Bi�posai 6pstem"Cons trUctlon Permit,,, Application`lication for a Permit to Construct Repair`,! U rade Abandon ` f( ) p ( pg ( ) ( ) ❑Complete System ❑I idual Components Location Address or Lot No. 9�j { CI A\) �, � Owner's Name, ddress,and Tel.No. tililifl �E'1,U Assessor's Map/Parcel 60 4 2 7 W I�nst'aller's Name,Address and Tel.No.5 , a(7-7, ,6 Designer's Name,Address,and Tel.No. (o.2 1-1 5 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 Design Flow(min.required) gpd Design flow provided 3 3 5. 6 gpd Plan Date 7 1 I q 11 0 Number of sheets Revision Date Title i f C7 i ( Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) t 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 i] I (� Application Approved by Date g ^a- r y Application Disapproved by Date for the following reasons, Permit No. Po 10 '3 3 Date Issued r d e a r THE COMMONWEALTH OF MASSACHUSETTS r' BARNSTABLE,MASSACHUSETTS Certificate of Compliance � THIS IS TO CERTIFY that the On-site Sewa e Disposal system ConstructedRepaired( ✓)` Upgraded( )g p y ( ) Abandoned( )by ifs({ \/ {(}n at ") 5 IS /,('1�' A V e-_ ), H \i Al has been constructed in accordance 33 $ - � — so with the provisions of Title 5 and the for Disposal System Construction Permit No.�010'3 dated Installer &13 E X C 1-i I- } Designer k)w ("1 ( r-t cx y ci #bedrooms Approved design flo,k, (,,,) gpd The issuance of is 'ermit shall not be construed as a guarantee that the system wi fu fi nt.as desi ed.f� Date �� Inspector ��✓ ------------ ----------- ----------`------------------ - - = =_ ----- = = ------------------------ NO. Cl��V Fee�— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Misposal 6pstetn Construction J)Prmit Permission is hereby granted to Construct( ) Repair( l< Upgrade( ) Abandon( ) System located at Sec 4 f)o A),, P M/U At-�Q b�s Pb 1 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. ,,,..►--+ p� Date Approved by `/� FROM :down cape engineering inc FQX NO. :15083629880 Aug. 06 2010 11:47RM P1 naAt,N �G% rf LIIIb�➢� 4, — _ � aa-•�...�e., ..}IQ''3HdtC��J lI�D.�N��1GBE71. •a'bgyl( ,1% McKean, 11Afirec1Iu 20018�%f in Sta-cel,1Hly�GDDuoaic, Iv1f,�.02601 Clfrcc;: 50�-862-�t5�#4 Fax: 509-790-6304 d_a�:;4•sG�1la;A--F�.1�'c�.�,n�mcv �:.'�lr•Qp��a,M1�iitn.�nit JCtsA•uriu � ' .ABaa:e: 'Sen"1g,Perm,iN '�� -3.33 Asaa;vWs V\'Pax-,P 1 .._... -^ 1 ll�ci•�o�on�:�•,�.;G��--�-� .._. _ 1(naet�.�olll�ea•: � �'� fh�lm9ir �- aeF�s: _mac. .L•,..� oil ._.. _j� — �- _.. wits issued a pc;L'tyllt t(1 111St:].f I. � • (elate) (installer) septic systcn:z Lit based of a clesi.F't1 drawn by (address) 0 T certify that the S'q Lr.0 systettl referenced a.bvv'e. was i119U.1110d si1b1,L""LiW.lY accordini? to the design, wlii(;h niay iiis lucle: rraiiaor RPprovrcl ci-h•(rt ges svid-L as lartel'a.l reloc,(ti()r, of the 111stribution box and/or Scatic t:a?ik. I ceriily 1.1lat fhe Septic sysLon) refe,reaccd above was h) tajlled with major chalij, (i.e. reater'tha:n, l:() latcl'a.l rulouatinit ofthu SAS or may vordeal relocati.on of ally compo:»t..nt ()Fthe Septic sysici ) but in: a.ccorclat>ce wish. state Local Regulations. .Plan revision of cu-t-i.l fed a:(s-Ixkil-t by desipZ icr to follow. (Trist Illev S ,Si.gnattrrc) DANIELA OJALA CIVIL J�Ii.�C S �i{Jll�tllt'�) (Affi?>�)t•, (6fiCkL� . Here.) )AJf 'QXPW TO D A 1vNN7.AJR1,1C y'd l>ad�,Jld.: Bp1G.l4:i 'U`Bif f D.4 4/1.t�.U.d AId. �`�1f�T't3?'16_:��A'.L• `�.Q� 1LE9..lda't, -t�+/A1L.L �ViPfl. 'RT1 }�' ' Ql'.t'1.�. '9E�C0� 1'�B.11dl"✓i t `dl$ [�i.: 1r3[JVY,'Y' k:.Q�11W ARE Rn:`011YE D BY T HJF BAJ1t.Nr3'7CA,BL) ll'4JIUJ( Hit L'YH OD'�;�r'.R;`�1f0.�I'd. ncivic y'au, 7:.�'lC�ilthlSrFit7Cal}c:,t;�ricr Gcrlif;�;al.iur�,l=rnn'.i••7.G•04.di�r.• Barnstable Town of Barnstable egulatory Services Departmenit A"mm,ca� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644. llliomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO e CERTIFIED MAIL# 70081830000205009342 6/22/2010 D Elaine C. Bradley Trust .J c/o Andrew Bradley P.O. Box 227 West Hyannisport, MA 02672 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 93 Second Avenue,Hyannis MA was last inspected on June 10, 2010, by Troy Williams, a certified septic inspector for the State of Massachusetts. > ' The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • Liquid depth in cesspool is less than 6"below invert or available volume is less than % day flow. You are ordered to repair or replace the septic system within Sixty (60) days from the date you receive this notification. . s Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER.O THE BOARD OF HEALTH Thomas McKean, R.S.,,CHO Agent of the Board of Health - Commonwealth of Massachusetts fiffil"P Title 5 Official Inspection Form l/- 7 a 0 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second Avenue, West Hyannis ort Property Address Elaine C. Bradley Trust c/o Andrew � Owner Owner's Name information is �J required for every P.O. Box 227, West Hyannisport __ - MA 02672 June 10, 2010 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:When A. General Information filling out forms on the computer, ED � use only the tab 1. Inspector: COP key to move your cursor-do not TroV Williams use the return - ----- ---- ---— -----------: ----- ------- — ----- .key. Name of Inspector Trot/Williams Septic Inspections Company Name T 19 Hummel Drive Company Address r� South Dennis MA 02660 City/Town State Zip Code _(508)_385-1300 - - T-T. _- S1682 - -- - -- Telephone Number License Number B. Certification -- -� -- — --- - 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: r j ❑ Passes ❑ Conditionally Passes Falls a ❑ Needs Further Evaluation by the Local Approving Authority ' g ? �..� June 10, 2010 Inspector's Signat. Date _ The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days.of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. a t. t ***"This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09f08 Title 5 Official Inspection Form:Subsurface Sewage Dis sal System•Pa e 1 f 7 Commonwealth of Massachusetts Title 5 Official Inspection Form fSubsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Second Avenue, West Hyanniisport Property Address Elaine.C. Bradley Trust c/o Andrew Bradley Owner Owner's Name information is P.O. Box 227, West H annis ort MA 02672 June 10, 2010 required for every �—_—p _ 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 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of . Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): N/A l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System sPage 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Second Avenue, West Hvannisport Property Address---------- ------------------------------- --------- Elaine C. Bradley Trust c/o Andrew Bradley Owner --------- ------------------------------------- Owner's Name information is P.O. Box 227, West H annis ort MA_ 02672 June_10, 2010 _ required for every yP _ _ _ page- Citylrown State Zip Code Date of Inspection B: Certification (cont.) B) System Conditionally Passes (cont.): Observation of sewage backup or break out or high static water level i❑ n the distribution box due 9 P 9 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): N/A ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑. broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): N/A 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, 1 safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Tille 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 J 93 Second Avenue,-West_Hyannisport---------_----------- -,__----------- ------------------�-- Property Address Elaine C. Bradle fv Trust c/o Andrew Bradley Owner Owner's Name -------— ----- ------------- information is required for every P.O. _Box 227, West t-lyannisport MA _ 02672 June 10, 2010 _ 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: ❑ I 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: N/A t 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 M ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow 15ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts ao Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 93 Second Avenue, West H _annis ort y Property Address Elaine C. Bradley_Trust c/o Andrew Bradley — Owner ---------- Owner's Name --- information is required for every P.O_ Box 227, West Flyannisport A- — MA 02672 June 10, 2010 _ page. City/Town T Slate Zip Code Date of Inspection B. Certification (Cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: N/A. ❑ 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. ❑ ' ❑C 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. ❑ M Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This . system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is.considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. l5ins•09/08 Tille 5 official Inspection form:Subsurface Sewage Disposal System•Page 5 of 17. Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second Avenue, West Hyannisport Property Address — Elaine C. Bradley Trust c/o Andrew Bradley Owner Owner's Name information is P.O. Box 227, West H annis ort MA 02672 June 10, 2010 required for every —_y—_—p __-- _ _ page. City/Town State .Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks?. ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components,.excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® O 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: VA ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3---- Number of bedrooms(actual): 3 -- DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd 15ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts — . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Second Avenue, West H annis ort Property Address Elaine C. Bradley Trust c/o Andrew Bradley_—_ Owner Owner's Name - . ------ ----------------------- ---------- information is - required for every P.O. Box 227,_West_Hyannisport MA 02672 —_ June 10, 2010 page. City/Town — State Zip Code Date of Inspection D. System Information - Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): 09=32,000 gals. Detail: 08=38,000 gals. - 'I --- - Sump pump? --- ❑. Yes F No Last date of occupancy: occupied -- Date Commercial/Industrial Flow Conditions: ' Type of Establishment: N/A- -----.__--.-_- ----- —. Design flow(based on 310 CMR 15.203): N/A _---- -- - Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc_): N/A Grease trap present? [A 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.: pN/A t5ins•09I08 Title 5Official 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 93 Second Avenue, West H annis ort Property Address --- n ------- - --- ----------- ---------- Elaine C. Bradle Trust c/o Andrew Bradley_____ ----------_-__-__ information is — — required for every P.O__Box 227, West Hyannisport _MA 02672 page. City/Town-- --- - State June 10, 2010 _ Zip Code Date of Inspection ®. System Information (cont.) Last date of occupancy/use: N/A _ Date -- ----------- - Other(describe below): N/A General Information Pumping Records: Source of information: Last pumped on 4/27/10 per info from owner. `-- Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: N/A— _— gallons --------- ---- - ----- - How was quantity pumped determined? Reason for pumping: N/A---- Type of System: • ® • Septic tank, , distribution box, soil absorption on system ❑ Single cesspool ❑ Overflow cesspools ❑ 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).- no d-box t5ins•09J08 Title 5Official Im .—ann Fnrn, •d— ...,,.. ,. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second Avenue, West H aannisport — Property Address — ---- -------- ----- -- Elaine C. Brad�Trust c/o Andrew Bradley Owner Owner's Name — - -- ---- --- -----—information is P.O. Box 227, West H annis ort _ MA 02672 June 10, 2010_ required for every _—Y—__—� _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Tank & leach pit are original to home built in 1967. .. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"-+ ------------- -- -- feet Material of construction: ® cast iron ❑ 40 PVC orangeburg Q7C other(explain): Distance from private water supply well or suction line: N/A ---- feet Comments (on condition of joints, venting, evidence of leakage, etc.): Flushed lines and found clear at the time of inspection_ Septic Tank(locate on site plan): Depth below grade: 6 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: N/A___ -- — - years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 5'X 9'X 6' 1000 gallon Sludge depth: 4" ---- — ;_ (Sins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Second Avenue, West Hyannis oP rt Property Address Owner Elaine C. Bradley Trust c/o Andrew Bradley __ Owner's Name information is P.O. Box 227, West H annis ort MA 02672 June 10, 2010 required for every _ __. �—_p _ _ 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 2 8 --- -- Scum thickness Thin layer 6" Distance from top of scum to top of outlet tee or baffle - Distance from bottom of scum to bottom of Outlet tee or baffle 14" - — How were dimensions determined? Probe/measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Concrete inlet and outlet tees were present. No evidence of leakage or damage was found at the time of inspection. Tank was not in need of pumping at this time. Grease Trap (locate on site plan): Depth below grade: N/A feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: N/A-- ------- N/A Scum thickness. ---- --- --- Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle _N/A Date of last pumping: N/A Date t5ins-09108 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 93 Second Avenue, West Hyannisport Property Address --- --_ ------ --------- .— _ Owner Elaine C. Bradley Trust c/o Andrew Bradley __ Owner's Na me ---------- -- -- information is — ----- ----- - required for every P.0 jBox 227, West Hyannis op rt• MA 026_72 June 10, 201_0 page. Citylrown 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.): N/A Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass 9 ❑ polyethylene ❑ other(explain): Dimensions: N/A Capacity: N/A ---- - gallons Design Flow: N/A gallons gallons per day ---- -- -- Alarm present: ❑ Yes ❑ No Alarm level: N/A -- -- Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A --_ Date ----------- -- --- Comments.(condition of alarm and float switches, etc.) N/A - - Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title.5 Official Inspeclion Foriw 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 \. 93 Second Avenue, West Hr Property Address — Elaine C. Bradley Trust c/o Andrew Bradley_ _- Owner Owner's Name --- information is ----- --------- required for every P.O. Box 227, West Hyannis�ort MA 02672 page. City/Town - —- — — -- -.-_ _ June 10, 2010 State Zip Code Date of Inspection D. System Information (cunt.) 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.): No d-box Pump Chamber(locate on site plan): Pumps in working order: Yes El No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: N/A Commonwealth of Massachusetts l W Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second Avenue, West H annis ort Property Address Elaine C. BradlevTrust c/o Andrew.Bradley_ Owner Owner's Name ----------- ---— --------------- -- — information is required for every P.O__Box 227, West HVannisport _ MA 0_2672 June 10, 2010__ _ page. City/Town — State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 -6'X6'with 2' of stone ❑ 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.): Soil was sandy. Leach pit was found with walls found stained above inlet line. This is evidence of hydraulic failure in the past when home was occupied for a longer period of time. Leaching does not have a minimum half dav flow available at this time. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer N/A__ — Depth of scum layer N/A---- — __ Dimensions of cesspool _ N/A Materials of construction . --N/A-------- ----- Indication of groundwater inflow ❑ Yes ❑ No 15ins•09108 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second Avenue, West H annis ort Property Address-- ---y- -p-----------Owne ---------------------- Elaine_C. Bradley Trust c/o Andrew Bradley r Owner's ---- information is - ---------- required for every P.O. Box 227. West Hyannisport- -- MA 02672 page. City/Town -- ----- - _ ------- ------ —__--- _June 10, 2010 _ 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.): N/A Privy (locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments.(note condition of soil, signs of hydraulic Failure;-level of ponding, condition of vegetation, etc.): N/A l5ins•09/08 - - Commonwealth of Massachusetts Title 5 official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Second_Avenue,_West_H_yannisport Property Address Elaine C. _Bradley Trust c/o Andrew ___Bradley. Owner Owner's Name-- - — ---Bradley._.__ ---- --- - _._—.--.T----- information is required for every P.O. Box 227,- y p West H annis ort MA 02672 June_10, 2010 - ------ --- --- ----- ------- -- ------ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately !� (3- 11ter, l I 30 � t t t5ins.09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form J- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments !'" 0 93 Second Avenue, West H ay n poort Property Address--------- --- — --- --- - — Elaine C. Bradley Trust c/o Andrew Bradley Owner Owner's Name information is P.O. Box 227, West H annis port MA__ 02672 June 10, 2010 required for every _ —�_—� — — _— page. CitylTown 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: 13 + — — 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: MIW 29 Zone B 6.7 1.0_adjustment You must describe how you established the high ground water elevation: Hand augered 4.0' below bottom of leaching with no water found at 12.0. Groundwater adjustment was 1.0' at the time.of inspection. Bottom of leaching at 8.0'was found not to be located in the high groundwater level at the time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5ins•09/08 Title 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 93 Second Avenue, West Hyannisport Property Address Elaine C.-BradleyTr ust c/o Andrew Bradley Owner Owner's Name information is P.O. Box 227, West H annis ort MA 02672 June 10, 2010 required for every —_. �.� _ _ _ _ page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist M 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 15ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 • �i�-ter � - JDet»s kirlent of Regulat6ry Services - s DARtlaTA13LE a { Public Heft1th'VIVRSu011 bate • � Mnea 200 Main Street,Hyanuis NIA 02601 t 65 9- �PEO WlF'�A Date Scheduled 7 Fee Pd. D0. ` w "oil Suitability Assessnient for Set age 3isposal Pcrfonned By: 1C4N 9C1� )v 11nessed By: t LOCATION,4..1L 'l3JL'lYJC�RAJI�l.JL1V��Il�JL'41�/JlL'4.� ION"— Location Address "l 04vner's Name l a'd Address Assessor's Map/Parcel: 'at -7 /�'�, Cugiueer's Namc EE NEW CONSTRUCTION R `PAL Telephone lP O Land Use Slopes(%) �r.�s/� Surface Stones Distances from: Open Water Body ff Possible Wel.Area ft Drinking Water Well ft Drainage Way f- ft Property Line Z FL Other Ft SKE'TCHL (slTcet name,dimensions of lot,exact locations of lest holes&perc tests,locate wctlands'o p'oxilldly to(toles) w , Z reV wcoP it A *'� ., AL Parent material(geologic) Qt1q".�'t51) a' Depth 10 Budroelt Depth to Groundwater: Standing Water in Hole: f��/ 7' Weeping fl'oill Ili h11Ne Estimated Seasonal High Groundwater DlE`�'EM/1[I�TA 7[]CO1�i FOR SlLr�S O�tAJG HIGH.V�A.71'��['� 1�AJ6�1�,.1� Method Used: r Depth Observed sLanding in obs.hole: _ In, Depth 10,5Q11 nioukm: Depth to weeping from side of obs.hole: I!1, Ul'ou lid Wutel'AdjU81ITtent e � _fr' index Well!# Reading Date: Index Well]eVnl r Add,factoi- AtJ.Orou 1dWnter UVuI PlCRCOLA7Cl[ON ' .'EST ' m�u�ll(� I OQU�Ulo._ OAA Observation Ilolc#f `*)t ` TintG tit 9" Depth of Pci'c Tlmp al 6" _ Start Pre-soak Time @ •� Time(9"-6%)' Y End Pre-soak i S 'vV 7A SAI ✓ Rate Min./Incli } , _ Site Suilability Assessment: Site Passed— Sit,G Failed: Additional Testing Needed Original: Public Health Division Obseiwation Hole Data To Be Completed on Back----------- " **q'If percolation test is to be conducted wit;Enn I00' of wet land, you must first u otify k➢ic. Barnstable Co nsery itioll I)IIvlSlon at feast Dille (I) WeelG prior to begianflug. QAS EPTIC\PERCF0RM.DOC r Depth from Ho L� Soil Horizon Soil Texture Surface(in.) Sdil Color Soil• i (USDA), (Mansell Other Mottling (Structure,Stones;Boulders, i ) L A Cori isle c %a ,rl Pn we Depth from -BRERVATION ROLE"LOG Soil Horizon I-role # 2 Surface(in.) Soil Texture Soil Color (USDA) Soil 0 etl r (Mansell) Mottlini; (Structure,Stones,Boulders. r A .. L Consis`enc %C ravel r DE P OB SlERVA Depth Ti ®1�T��®Y,� LOG Soil Horizon ][�[®]� Surrace(in.) Soil Texhire S . `- Soil Color. — (USDA) Soil • Other (Mansell) Mottling (Structure,Stones,Boulders. Cons_ i`teneY 4o OnvelT a e _ DREP OBSERVATION ROLE LOG Depth fiom Soil Horizon Hole# Surface(in.) Soil Texture Soil Color — (USDA) 5011 Other (Hansel)) Mottling (Structure,S , e,s;Bo ulders, oulders, Consdgencv 4 El10odl]fnsuuaresc Rate jvga : Above 500 year flood boundary No Yc.s Within 500 year boundary No - ' Yes Within 100 YLar flood boundary No� Depth ®T f 1�T a"I Ocr- rV-9 terial Doers at least four feot of naturally occurring;perviuus materlal exist in all areas observed thro area proposed for the soil absorption system? ughout the,e I n 1f not, what is the depth of naturally occurring pe �-ious mataria'f?- ,00/ C�e�tufication •. '. . . .. A certify`—that on /� di1 S .(date)I have passed the soil evaluator examination approved y the Department of Environmental Pfotectioli'and that tF.e above analysjs was performed by me cons stent with fhe red(tired trainin expertise and ex erienee des_er in CIO CMR 15.017. :LLL� Dateq�l �k Q:1S.L?PTfC\P.E12Cd;ORM.DOC i _ I. ASSESSOR'S MAP NO. �O PARCEL 007 LOCATION SEWAGE PERMIT NO. 23 �2-A/D PILLAGE (.BEST' !`�l/f}Ai 11,S loo T I N S T A LLER'S NAME i ADDRESS 8"U 1 L D E R OR OWN ER DATE PERMIT ISSUED DATE C0M' P L I A N C E ISSUED ' N z G p ` y In rC y � SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS FOR FUTURE LOCATION. cn of PROVIDE MIN. 20" DIAM: WATE,F2TIHT (NOT TO SCALE) 1. DATUM IS APPROX. NGVD (BARN. GIS SPOT ELEV.) a T ACCESS COVERS TO WITHIN 6 CG FIN. GRADE PROVIDE INSPECTION PORTS TO 2. MUNICIPAL WATER IS EXISTING TOP FOUND. EL. 34.5' WITHIN 3" OF FINISH GRADE o ey \ 32.5' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 4. DESIGN LOADING FOR ALL PROPOSED PRECAST Croi Ville Bea h UNITS TO BE AASHO H-10 32.84'* 4"0sCH40 PVC FILTER FABRIC COVER PIPES LEVEL tST 2' OVER UNITS 5. PIPE JOINTS TO BE MADE WATERTIGHT. -�. 29.83' 6. CONSTRUCTION DETAILS TO 8E IN ACCORDANCE 10" EXISTING 14" _ WITH 310 CMR 15.000 (TITLE 5) TEE SEPTIC TANK** TEE 31.4t*' ` 29.5' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Locu On_ GAS BAFFLE . .. '000 og0000 NOT TO BE USED FOR LOT LINE STAKING OR ANY 0.67' OTHER PURPOSE. 29.69' 29.52' 28.83' Q ;* , .. ., •: 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 6„ MIN. SUMP Nantucket 12" MIN. INT. DIM. ZOVERALL DIMENSIONS TO OUTSIDE OF UNITS: 32' X 8.49' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF Sound 6",CRUSHED STONE OR MECHANICAL PROVIDE SPLASH QUICK4 'STANDARE UNITS HEALTH AND PERMISSION OBTAINED FROM BOARD COIdPACTION. (15.221 [21) PLATES UNDER PIPING (NO STONE PROPOSED) OF HEALTH. 7.23 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP (2.9 % SLOPE) (-!-X SLOPE) CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALI UNDERGROUND & FOUNDATION EXIST. SEPTIC TANK 60' LEACHING D' BOX 4' OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE FACILITY WORK. * **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT NO BOTTOM TH-1 THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL NO GROUNDWATER FOUND "ENCOUNTERED 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 267 PARCEL 7 UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 4 SHALL BE REMOVED 5' BENEATH AND AROUND THE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE (OR H-20 PROPOSED LEACHING FACILITY. SEPTIC TANK F IT WILL BE SUBJECT TO VEHICLE LOADING). 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LEGEND 99- EXISTING CONTOUR SYSTEM DESIGN" X 99.1 EXIST. SPOT ELEV. 99 PROPOSED CONTOUR PINE WAY GARBAGE DISPOSER IS NOT ALLOWED x 33.57 (98.4] PROPOSED SPOT EL x 32 70 DIRT ROAD x,.3-Z.94 DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 110 GPD 33.51 USE A 330 GPD DESIGN FLOW VERIFY IN FIELD x 32.63 .52 V.I.F. 3.68 2% SLOPE OF GROUND I 33.76 I SEPTIC TANK: 330 GPD (2) = 650 W UTILITY POLE USE EXISTING ,SEPTIC TANK** , 100.00' 33.58I o FIRE HYDRANT K, _ PARCEL 7. - - ___ LEACHING: NOTE NOT ALL. SYMBOLS MAY APPEAR IN DRAWING 3 12,000 SF � 4.72 SF/LF x 4' LENGTH = 18.88 SF PER STD. 5� 33.5 , I QUICK 4 UNIT • �¢3. 5 330 GPD/0.74 GPD/SF = 4'46 SF' LEACHING L 33.13 REQ'D GS TEST HOLE O w ,8" AK V CRAW-W. \/�F� y DANIEL A. OJALA, PE, SE 3.24 �oGT I 446 SF/18.88 SF/UNIT = 23.6 UNITS ENGINEER: _ - WITNESS: DAVID STANTON, RS EXIST. DWELL: �s O THEREFORE,- USE GRAVELLESS SYSTEM OF (24) DATE: 7/9/10 x 33.35 x TOP FNDN. = 34.5' O OFA3 ROWS NDARD OF84UNNTSS IN FIELD CONFIGURATION VERHEAD UTILS. PERC. RATE _ .26 \ < 2 MIN/INCH EXIST. sT** 3 FULL BASE. 3.39 24 UNITS x 18.88 SF/UNIT = 453 SF> 446 SF 12983 O o 3.30 (OK) CLASS I SOILS P# - 3. 2O/ 4.sz I BENCH MARK CORN. � J N CONC. BULKHEAD EL. = 34.1 NOTE: GAS LINE I O ELEV. ELEV. N 32.65 .06 NOT MARKED IN O 32.6' 0" 32.78 C 0" 32.8 O m x 33.0 REAR (VA.F.) O ■�3. A A _ 0 Czy LS LS 32" TREE 0 ECK PMCH SUB 4) I MA 10YR 3/2 " 10YR 3/2 APPROVED DATE BOARD OF HEALTH 4 4 x .35 I B e 22" OAK 7 G- 32.9 TITLE 5 SITE PLAN LS LS 12" OA (Ax 3 .04 12" OAK G x 2.8 OF " 8" OAK 33.15 DIRT PARKIN x 32.52 10YR 6/6 10YR 6/6 29.8': 2.41 1 36 29.6 36 TH_ 2 93 SECOND AVENUE HED 6V 12 OAK x 91 WEST HYANNISPORT � I C C 16' 12" OAK TH 1 -�5 PREPARED FOR PERC s 132.22 �� °Fssgc o��'��DANIELs9°�� M/M ANDREW BRADLEY J C/MS C/MS x 32.92 �� DAN1E?LA. �� A. ----'PENCE 100.00' o� OJALA y�, pJ C CIVIL CnNo. 80 JULY 14, 2010 2.5Y 7/6 2.5Y 7/6 No. �o off 508-362-4541 fax 508-362-9880 � r moo ' A G o downcope.com Cn U OJALA N U q NaO40 80 down cope engineering, iac. 132" 21.6' 132" 21.8" 0 46502 ! F S`o`A �o�� IV ,A � civil engineers NO GROUNDWATER ENCOUNTERED Scale: 1 = 20' I --►v 1oNAl � land surveyors 939 Main Street ( Rte 6A) 0 10 20 30 4o so FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 0- ' 39 10-139.DWG (SBO) i