Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0050 CLAMSHELL POINT LANE - Health
50 Clamshell Point'Lane Cotuit F A = 006 005 I , i I TOWN OF'BARNSTABLE LOCATION ,�(� �lArn S/ � Pal�� (^1 SEWAGE# Z= —Z VILLAGE COM L T ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY (( ] LEACHING FACILITY: (type)�� ( � ��py�j (size) }7 .tit NO.OF BEDROOMS p OWNER Ll e's: d� 1y1/�S� e "� f A r l'(JerS LL C PERMIT DATE: / /01„ZC) COMPLIANCE DATE: 'J ZZ 12-1 Separation Distance Between the: ] Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /V I SDI Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) /V�� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY r �Z 3AQ,*') -na�+s wv-0 �► v sT-X' Z � •f �( ;� 1p°t &Oft GI �vinU IMS"llopG �J FROM :down cape engineering inc FAX NO. :1509362geeO Mar. 2e 2011 07:44AM P1 ;a` ,� n` E i1,�ti;:p,;fi4 i�. k.n�':R�tCL"., �l''6A'L�s.'.�P►q• A Thomas Ke-Keniu,111recifor 209 Mlli-a Street,Hynuuhs, M.A.Q11,601 ()ffica: 508, 962-1644 'rl"'kage perlmiW(�61.1 Tvf iqp\1?nred4/ Dc" er'. Address- Address: fid Lt-was k..sued a ylunnkt to inytanq Oate) septic �Ys�elu 11L .:-)0 Cj(�r"o�t based ou a de.sigii dra-wil by (address) 4�/�t e.; /�. D rti./a.. _... L.T.. f ("t)-tJ Fy Chat tfie, septic System.refffTeuced above was i-n,gi.allud nibstautially according lo. thp w1liull 1-m-ty L'u('l!0d(-' -lniaol- appro-Vi.-id 13 1.2tUal. TCR)ULt OLLoflh.e dist box Fmd/m-sqtic tiuEc, ko d' A9 /1 "0 J17- Jl/lk zk'Y?"efn , ZA 7 'I (;Cl&y tl).af the sejAic systera rvfewilced "."bove, was Histallod r.ha-qges (i.o, ge!.l.te)- [liau. 1.0' latry,91 relocofiml.of te. '-3,.AS 03' way VeVical 1-000,'Aiou of ailY COEVC-1-1 I J L it I of the system) but in Ltu,,,=lujcf:, willi.Stak-,. A-K. L(loal Plan l,'evi:wn Of ceiLifw built by desig ner to F(Tow- tk DANI&LA, OJALA CIVIL No,48502 NA meT'S SA".'4uly' Heir,) (D, (A .h, TI.ORNST.A.-BLE PUBlJC' AEAL'Ill PiVl-�41015. CERTIMAIE OF ffl.Ti7CLUNCI 9R.T.,T, %T j ROT35 TRTS FORM A-IN'D A.S-31TI. CARD : relf.1ficaliou Form 3-')6-0'1Afx dog/ � ;TD 5D e-1�6 —C, 2,� q r=-R C) 5.1 8nLI No. Fee HE CO N- EALTH OF M CHU TS Entered in com uteri PUBLIC HEALTH DIVISION -T OF BARNSTABLE, MASSACHUSETTS Yes ftpfitatiou for -Mist sal *pstem Coustruttiou permit Application for a Permit to Construct( ) Repair(✓rup ade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.610 p Owner's Name,Address,and Tel.No. w/ Ifs- VSS' �- %Oa mRr Llles.-,m4e it 6?!Co acre C ad. Assessor's Map/Parcel <.,7 mD 1,�� Installer's Name,Address,and Tel.No. -�j�/�g3 Designer's Name,Address,and Tel.No. njor 40 Ha i Cc,�,I fc 1,lire. yS�'rxJ�c.Si ,f ,t�c�c c�a C'Gt �/J lf-We I I y,.1�C ars a� d W.A 026--)5- Type of Building: 'Ab {/ Dwelling No.of Bedrooms Lot Size 9 -90 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) U gpd Design flow provided gpd Plan Date Number of sheets Revision Date / Title 1.. Sp Size of Septic Tank jg�rn� (n[jp Q J+ Type of S.A.S. ,3 [`N aU� q,�,Q•t?�, � �U x�/L� Description of Soil '� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and aintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro n Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He ig ed Date \1 i Application Approved by Date Application Disapproved by Date for the following reasons - A Permit No. Date Issued a.,.-._.-- --------------------------------------------------------------------- - - - �------ ----------- .. e • r �� ��n�j. j'j \ Fee HE,COMMOEALTH OF MABSaCHUSE' TS Entered in cimputer: ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS+ Yes \ Application for -Misposal *pstem Construction j3erutit Application for a Permit to Construct( )t. Repair(") Upg rade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.50 t OC(I+ nV- Owner's Name;Address,and Tel.No. c L 0a m�cr�,les-M�,'r Assessor's Ma /Parcel i T '21�0 a Ie ad, P b oval A Odgl)g Installer's Name,Address,and Tel.No. "7 V Designer's Name,Address,and Tel.No. ( Or 40104f4 e_or -tucb;o► Tv yS� ti'C,CY)61 � �O in�er'7I�, /llarsfon:5 Type of Building: l Dwelling No.of Bedrooms »- _1�5L of Sierl'�390 �� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) U gpd Design flow provided S gpd- Plan Date�Q ("`e-A 6 aOI Number of sheets 1 -4-� Revision Date 1 ,. oZ j, c�Ol/ ile T T' S J. P1a�, 5U C. a �S E1� � t n �ne ;-{•` M ff Size of Septic Tank EXtSi>1e �V(g© G �. Type of S.A.S. 3 (N-ao)Sv0 q" . I"'iZ1�fti JU x go _•. Description of,Soil � ,I Nature of Repairs or Alterations(Answer when applicable) 1� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in w• accordance with the provisions of Title 5 of the Envi n al Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of/Health. Ap ! Date ( •� v Application Approved by -K1 ® Date Application Disapproved by t. V v Date for the following reasons A Permit No. Date 41 IT THE COMMONWEALTH OF MASSACHUSETTS' BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERIT Y,that the On-site Sewage Disposal system Constructed( ) Repaired(✓f Upgraded( ) Abandoned( )by r , Co 04 f-U �-;-Z r, at t'1)5i1c_:� ( QOj r,)� Lane- - co- tQ I�" has been constructed in accprd2nce with the provisions of Title 5 and the for Disposal System Construction Permit No. (l`7 dated Installer �r IrOL�%'00, Cc sJj o►^�1r.0 Designer 4Jr1 �h i t°�i nS t� v #bedrooms Approved design flow v gpd The issuance of this permit shall not be construed as a guarantee that the system will+f"tinction as design d. Date 70111 l Inspector �' 1 No. -fl`----------------------- --------------------------------------- _ ------------------ --- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS 5 Disposal 6pstrm Construction 3dermit Permission is hereby granted o Construct i( ) Repair( Upgrade( ) r Abandon( ) System located at.50 z.l 1—A I 0 t �. (1� - �Ca"['U 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:Cons ct•n t e completed within three years of the date of this permit' Date u / _ Approved by � TOWN OF BARNSTABLE LOCATION �50 Pcl tt—I b,�EWAGE# JO tl--C 4-7 VILLAGE C-C o ASSESSOR'S MAP&PARCEI��(-� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY. (type e e rfG -F GW,4,� (size) -30 X !Q X4, NO.OF BEDROOMS OWNER =,eck — et(c Eq 1 PERMIT DATt.",_ - - 91 COMPLIANCE DATE: 9141 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) /�Q 1 Feet FURNISHED BY ys-- sl�" 43 ,° } i S a ` own of Barnsta*ble P# 1Depaa'tmClit of Regulatory Services _ y BARNEr >3 Public Health Division Date • � TOASS' 200 Main Street,Hyanuis MA 02601 �pFU PA1>'t a Date Scheduled_ 0 Time ( V Fee Pd. Foil Suitability Assessruerit for Sewage �isposal Perfonned By: +O U Witnessed By.: t\V I' .`CA;0N 8z GyENEE A L itT,47OJl�lXIA T 10N Location Address k or^0a� /t �G 3 h.� n. Owner's Name /off _ Mho e� `^'Y "I Address Assessor's Map/Parcel; 1% ' Cngiucer's Name NEW CONSTRUCTION REPAIR Telephone If �J'�/Oa _ T� T Land Use 4 Slopes(%) Surface Stones A0 N rC Distance's from: Open Water Body If Possible We[Area fl Drinking Water Well ft Drainage Wayft Property Line �r� f[ Other ' tt SKETC : (Street came,di sin of lot,exact locations oflEst holes 8c pert tests,locate wetlands-in proxintily to boles) CL7) ems., CC T lS Parent material(geologic)_wd'e�i,9�v�J Depth W Bedrrjck © 7 Depth to Groundwater: Standing Water in Hole: il � Weeplhg 1'1011)Pit Noe� V Estimated Seasonal High Groundwater D-E,7CEMUNAT'TON F OR SEASONAL 111011 WATER TABLE Method U5ed: Depth Observed standing in obs.hole: In, Depth 10 s411 m0tt1.1:c_, Depth to weeping from side of obs.hole: lu, Groundwater Adjuslment,r,_f[. Index Well✓# Reading Date: Index Well level „ Adtl,factor Aal.Ort midwmef Level ]PERCOLA7TT0N71'EST _ lUat� /v' 'Able Observation Hole# Time at 9" Depth of Perc _ Tlmp at 6" Start Pre-soak Time @ ✓�/ _ Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment:. Site Passel!�' Sih'-Failed:� Additional Testing Needed(YIN) Original; Public Health Division Observation 1Iole Data To Be Completed on Back- - *"*If percolation test is to be miducted within 100' of wetland,you must first notify title. Barnstable Conservation Division at least one (1) Week prior to begin➢ah-11g, Q:\S EPTIC\PERCFORM.DOC _ 1 ID1IEICP.0BSI♦;RVATI®N HO + LOG ---o D n. Soil Horizon Soil Texture Soil Color Soil• Other r • (USDA). (Munsell) Mottlin g (structure,Stones;Boulders, ©--3 d/ Con istenc %' ravel )0`/� DREP OBS]ERVATION1-10* LGG Depth from Soil horizon fro le # Surface(in.) Soil Texture Soil Color (USDA) S01I Other (Munsell) Mottling (structure,Stones,noulders, Q • ,� Consis enc %Oravel) , -___--__ Goy Depth from Soil Horizon g'®� ��fD��# Surface(in.} Soil Texture Soil Color Soil ) (USDA (Munsell) Mottling Other Boulders. Consistency,rya t7ravel_ ) DE]EP O-BSIERVATION�IGLE LOG Soil Horizon _ Depth fiom Hole# Soil Texture Soil Color Soil -- Surface(in.) (USDA) (M ,. Other unsell) Mottling (Structure,Stones;Boulders, Consi.tency,��Oravell ♦E • Flood Insurance](take ap. Above 500 year flood boundary No Yes Within 500 year boundary No yes Within 100yearfloodboundary No Yes PO-R >I o�rally Occurrmp Pei vious 1VlaterlaI Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? IF not, what is the depth of naturally occurring pervious mattrial? -.- C'etrtn$lcn�iora . I certify that on GCL (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above analytsis.was performed by me consistent with the required trainira , expertise and experience described in10 CMR 15.017. Signature PO /0" Q:%S B PTICIPE R CFO R M.D O C �939 main street rt 6a tel. (508)3624541fax(508)362-9880 yarmouth port WF mass 02675 down cape engineering, inc. structural design civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court November 2 2010 Andrew R.Garulay,R.L.A. surveys , site planning Thomas McKean, RS Director, Barnstable Health Department 200 Main Street sewage system designs Hyannis, MA 02601 Re: 50 Clamshell Point Lane, Cotuit inspections Owner: Dagmar Liles-Meier permits Dear Tom, landscape Please be advised that we have been retained by Bortolotti Construction Inc. to cosign architecture a new Title 5 system for the above-referenced location. Very truly yours, �{ C7, Sarah B. Ojala Down Cape Engineering, Inc. cc: Bortolotti Construction ` 5 C-D ` C"'q sd-c� Town.of Barnstable OF I 1p� ya �� Regulatory Services + BARNSfABLE, Thomas F. Geiler, Director 039.MASS. a`°� Public Health Division lfD MAC Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Final Order. 02/06/09 Howard Stevenson and Dagmar Liles-Meier 216 Rutledge Rd. Belmont MA 02478 Re: 50 Clamshell Point Rd. ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 50 Clamshell Point Rd. Cotuit, MA was last inspected 1/14/2005 by Bertolotti Construction, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Liquid depth in cesspool is less than 6" below invert and or available volume is less than Y2 day flow." You have 60 days from 02/06/09 to bring the system into compliance. Any person who shall fail to comply shall be fined not less than $10.00 nor more than $500.00. Each day's failure to comply with an order shall constitute a separate violation. Your may request a hearing before the board of health,.a written petition requesting a.hearing on the matter, with in seven days after the day this order was served.. BARNSTAB E HE TH DEPARTMENT ` Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health 9 l °F SHE Tp� Town of Barnstable Barnstable Regulatory Services Department ADAmmica P D + IARNSCABLE, + 0b 9: ,�� Public Health Division �ArF0"`A�A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 10/15/10 Dagmar Liles-Meier Howard Stevenson 216 Rutledge Rd. Belmont, MA 02478 Re: 50 Clamshell Point Rd. Cotuit MA FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 50 Clamshell Point Rd. was last inspected on 01/14/2005, by Robert J. Bortolotti, 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: "Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow." The deadline for repair your system is overdue. The Health Division has not been informed that you have taken any steps to bring your failed system into compliance. Therefore, you are subject to $100 non-criminal ticket citations. Tickets may be issued daily until the violation is corrected. You are ordered to repair or replace the septic system within 30 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven (7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health t, J (� z 2 yR in Ioe) . s � Ss I �. ° ,. 'b . ( ' � • j M r � �.X r .. .. • �. � �,, { .. � — `- ' Y r '`, t { ,� - o .�, � , i � n I .,. x ,� ,r _ � ,. ._ � � -r • r � r r t a � . +� .. k p ar p P �,_ ; +. ^ � i ! ; t r r e COMMONWEALTH OF MASSACHUSETTS I EXECUTIVE OFFICE OF ENVIEONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION FAILED INSPECTION TITLE 5 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:�/�(/y /)-h k��l�P �'rx1fA >�Q� Owner's Name: Owner's Address: ' ) ��./ll C� . SAP Date of Inspection: f Name of Inspect . lease print) Company Nam _ Mailing Address: _ 4 oa(W Telephone Number: ,?, �7-71-:0,;v CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at thjs address and that the information reported below is true,.accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system.- Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ils Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the.approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shad system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the repocto the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. i Title 5 Inspection Form 6/15/2000 page 1 i Page of 11 OFFICIAL INSPECTION FORM_NOT FOR VOLUNTARY ASSESSMENTS 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ry�GERTIFICATLON.(continued) M , Propert Address. �� Owner. Date of speti - I Inspection.Summary: Check A,B,C,,D,or E/ALWAYS complete all of.Section D A. System Passes: I have not found any informatioi which indicates that any of the failure criteria described in 310 CMR 15303 or in 310 CMR 15.304 exist.Ar_y failure criteria not evaluated are indicated below. Comments: & 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 ofthe replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and ove€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 ye-Ers old is available. ND explain: Observation of sewage backup or break out or high static water level in.the distribution box.due to broken or obstructed.pipe(s)or due to a broken;settled or uneven distribution box. System will pass inspection if(with. approval of Board of Health): broken pipe(s)are replaced obst-uction is removed distribution box is.leveled or replaced ND explain: The system required.pumping more than'4 times a year due to broken or obstructed pipe(s)..The system will. pass inspection if(with approval of the Board of Health):. broken pipe(s)are replaced obstriction is removed ND explain: 2 _ f Page 3 of l'l 4 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: la Owner: Date of I spectio : ;j C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which.will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated y.-etland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system.is functioning in a.manner that protects the public health,safety and environment: _ 'The system has a septic tank and soil absorption system(SAS:)and the SAS is within 100 feet of a surface water supply`or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within L Zone l of a public water supply. The system has a septic tank and SAS and the SAS is within -0 feet of a private water supply well. _ The system.has a septic tank and SAS and the SAS is less thEn 100.feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is Lree from pollution from*hat facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to cr less than 5 ppm,provided that no other failure criteria are triggered.A,copy of the analysis must be atta&ed to this form. 3. Other: 3 t Page 4 of 11 OFFICIAL.INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:t � �Ghy� Owner: } ' Date of In pection: . l�� 777 D. System Failure Criteria applicableto 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 efi mnt to the.surface of the ground or surface waters due to an overloaded or / clogged SAS or cesspool Static liquid level in the distribution.box above.outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %z day flow Required pumping more than 4 times in the last year.NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high groundwater 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 than50 feet.from a private water supply well-with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a.DEP certified laboratory,for coliform bacteria and volatile organ ic.compounds indicates that the well is.free from pollution from that facility and the presence of ammonia . nitrogen and nitrate nitrogen.is equal to or less than 5 ppm, provided that no other failure criteria. are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact,the Board of Health to determine what will be necessary to.correct the failure. E. Large 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• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ the.system is within 400 feet of 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 systerr has failed.The owner or operator of any large system considered a significant threat.under Section E or failed under Section D shall upgrade the system.in accordance..with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL S.YSTEM INSPECTION FORM F PART B", c` CHECKLIST Property Address: Owner: _ Date of Ins ection: M, Check if the following have been done. You must indicate"yes"or"no"a_to each of_the.following: Yes o Pumping.information.was provided by the owner, occupant,or Board of Health V/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 backup if Was the site inspected for signs of breakout? 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_he site has been determined based on: Yeo/ Existing information.For example, a plan.at the Board of Heal__h. _✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR i 5.302(3)(b)] 5 Page of 11 OFFICIALINSPECTION-FORM_NOT FOR VOLUNTARY ASSESSMENTS - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION Property Address: J _ all _ Owner:. Date of in-4-ecti6n- 61- V OW CONDITIONS RESIDENTIAL( Number of bedrooms(.design): ... Number of bedrooms(actual): DESIGN flow based on 310 C R ]5.203 (for example: 11.0 gpd x#of bedrooms): Number of current residents: Does residence.have.a garbage grinder ayes or no):/V Is laundry on a separate sewage system.(y s or no): f if yes Separate inspection required] Laundry system inspected( e or no) Seasonal use: (yes or no): ... Water meter readings, if av ilable(last 2 years usage(gpd)):0-3000 0�`37 Ma Sump pump(yes or no) ' Last date of occupancy: �• �� f,�,��(� � , � . COMMERCIAL/INDUSTRIAI/�t) Type of establishment: Design flow.(based on 310 CMR.15.=03.): gpd Basis of design flow(§eats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present or no): Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available:- Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records J Source of information: . / Was system pumped as part of the i snection yes or no): If yes, volume pumped: gallons--How was quantity pumped determined? Reason for.pumping: TYPE OF SYSTEM —Septic tank,distribution box,soil'absorption system _Single cesspool _Overflow cesspool Privy _Shared system.(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology,Attach a copy of the.current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy'of the DEP.approval Zothei-'(describe). / roximate age o all components, datz installed(if known)and source of information: Were sewage odors detected when arrving.at the site(yes or no) I Page 7 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (co-ttinued) Property Address: ` �� Owner: Date of Inspection:7 CX;0 S BUILDING SEWER(locate on site p)ane''" Depth below grade: Materials of construction: cast iron _40 PVC_other(explain):- Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage, etc:)`. SEPTIC TANK:41ocatt'e.on site plan) Depth below grade: ��� Material of construction: ncrete_metal_fiberglass_polyeth;7ene —other(explain) , If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or.no):_(attach a copy of certificate) Dimensions: s Sludge depth: /2 '1 Distance from top of sludge to bottom of outlet tee or baffle: 2 7 Scum thickness: Distance:from top of scum to top of outlet tee or baffle: :Z, Distance from bottom of scum to bottom of outlet tee Qr baffle! 49 How were dimensions determined: A� Comments(on pumping recomme dations,Alet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evid nce of leakage etc.): � t� GREASE TRA (locate on site plan) ' Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM—,NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: / Date of In ection: L TIGHT or HOLDING TA (ank 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: gallor_s Design Flow: gallonsiday Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION.B;O%/k(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 CHAMBE (locate on saF plan) Pumps in working order(yes or no):.__ Alarms in working order(yes or no): Comments(note.condition of pump chamber,condition of pumps and appurtenances, etc.): 8 Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTENS INSPECTION FORM PART C . SYSTEM INFORMATION(cantinued) Property Address• Owner Date of I spection, p SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) -If SAS not located explain why: Type Ieaching pits, number:_ leaching chambers,number: leaching galleries,number: leac.ing trenches,number, length: china 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, 6 , K12 w a -A�no � CESSPOOL (cesspool(cesspool must be.pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of por_ding,condition of vegetation,etc.): PRI (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc): 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY.ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION(continued) Property Address: A )v t/M" Owner: Date of I pection: / 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 1.00 feet. Locate where public water supply enters the building. ]i �0 1000 G CAI100 P a' 1 S `ICI 10 I Pase I 1 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFORMATION(continued) Property Address: "� Owner: Date of In ection:L /✓f SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground waver jjg7feez 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 describe how you established the high ground water elevation: y� ]1 drion: -. .�_,y i ER LEV L Ovvner: O Cal 7F 4 � V o TIpN Con`ractor: Flo tes: , A d / dress Address_ Cor No s STEP 1 M easure epth to.nearesa�/7�to water tale S ST P SIn9Water• Date and 1�v41 Range , month/da I�d�X one WeII Mir, Me and det ermine: A Appropriate index we I..................................('"t� - —1 Water-level range zone .............. I .....................................- STEP 3 Using monthly report "Current Water Resources Conditicns" determine current depth to water level for index well .................. ��������� month./year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level.for index well (STEP 3), i and water-level zone (STEP 2B)- determine water-level adjustment ......................................_.................................................. STEP S Estimate depth to high water by subtracting the water- level adjustment (STEP Q from measured depth to water level at site (STEP 1) ................ Figure 11--Reprobucible computation form, 15 • ,--_� • - �. - Y� _t{i '�_1 i .. �-�J ` �' ..� O .. i � - i ^. �. '� j - . _. F !!!.� . 7t 7 3 � • � 1� s ,. � t � y � .` j� �, C i t' �� 1 ' i !'t ii S i i . 1: �, j= 1 ,. ! o � � .--'-j;� i': �. �� fa. � a ; L'j �.' . � 3 iiiiii[ [ S , 3 1 �� `3 3�.. t,.-;;�- � '� i �.is i ,' ���4 �� �� z L � 4 � ♦ '""�-' i f � � � � 3 { � � .�. 9 New Page 1 Page 1 of 1 -4- C-"C" ' "`,ir`-' 'TOWN OF B RNSTABLE LOCATION-:- '' -�D � ) SEWAGE # L VILLAGE 0_)J.1-A ASSESSOR'S MAP &LOT OMIb 0 0 �1 }��{�� �i �1 c �SP8Zi79S NAME&PHONE N0. fY��1L1`m 5 G� , �� I D I Z SEPTIC TANK CAPACITY I W0 U ,1 o \/v� I vAg1A LEACHING FACIL=: (type) JP (size) NO.OF BEDROOMS BUILDER OR /.. NE FAILED 1N�T `C 1.ICNi 1 PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility I Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) F Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) F Furnished by i r' 3yiq . http://www.town.bamstable.ma.us/assessing/2009/HMdisplay.asp?mappar=006005&seq=1 2/6/2009 COMMONWEALTH Or MASSACHUSETTS x EXECUTIVE OFFICE OF ENVIRONMENTAL AYFAIRS n DEPARTMENT OF ENVIRONMENTAL PROTECTION 350 MAIN STRE'ET WEST YA.RMOUI'H,MA ci 508 775-2800 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 50 CLAM SI IELL POINT LANE CO'1'Urt-,MA 02635 Owner's Name: RON RI?II' Owner's Address: 50 CLAM SI II LL POINT LANE CO'rurr, MA 02635 Date of Inspection MAY 18,2001 Name of vispector:`(please print) JAM.ES D. SEARS Company Name: A c&B Canco Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number. 508-775-2800 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of oil site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR .15.000). The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design now of 1o,00o 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 tot lie buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REEF,RON Date of Inspection: MAY 18,2001 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X _ 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: N/A _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y..N,ND)in the for the following statements. If"not determined" please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health)" broken pipe(s)are replaced obstruction is removed ND explain: Title 5 Inspection Form 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 18,2001 C. Further Evaluation is Required by the Board of Health: N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety,or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance ** This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Title 5 Inspection Form 6/15/2000 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 18,2001 D. System Failure Criteria applicable to all systems: N/A You must indicate"yes" or"no"to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded f or clogged SAS or cesspool N/A Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in leaching is less than 6"below invert or available volume is less than%day flow X Required pumping more than 4 times in the last,year NOT due to clogged or obstructed pipe(s). Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation N/A Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply N/A Any portion of a cesspool or privy is within a Zone 1 of a public well N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: N/A To be considered a large system the system must service a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "ves"in Section D above the large system is 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. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 18,2001 Check if the following have been done. You must indicate"yes" or"no"as to each of the following Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X Were all system components,excluding the SAS,located on site? X Were the septic tank manholes uncovered;opened,and the interior of the tank inspected for the condition of the bates or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum X 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)has been determined based on: Yes No X Existing information. For example,a plan at the Board of Health. X 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(3Xb)] Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 50 CLAM SHELL POINT ROAD COTUIT,MA 2635 Owner: REIF,RON Date of Inspection: MAY 18,2001 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 330 Number of current residents: 1 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no) NO Last date of occupancy: PRESENT COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: N/A Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: gallons—How was quantity pumped.determined? Reason for pumping: TYPE OF SYSTEM X Septic tank, 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 copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 18,2001 BUILDING SEWER(locate on site plan): N/A Depth below grade: Materials of construction: Cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK(locate onsite plan): X Depth below grade: 6' Material of construction: X concrete metal fiberglass polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: UNKNOWN-SHOULD BE 1,000 GALLON Sludge depth: 2" Distance from top of sludge to the bottom of outlet tee or baffle: N/A Scum thickness: 0" 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 How were dimensions deternuned: N/A Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): TANK AT WORKING LEVEL.TANK 6'BELOW GRADE WITH INLET COVER AT F BELOW GRADE. NO SIGN OF OVERLOADING IN TANK. GREASE TRAP(located on site plan) N/A Depth below grade: Material of construction: concrete metal fiberglass _ polyethylene _ other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REEF,RON Date of Inspection: MAY 18,2001 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no) Alarm level: Alarm in working order(yes or no): Date of last pumping Continents(condition of alarm and float switches,etc.): DISTRIBUTION BOX: N/A (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: N/A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Continents(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Forni 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 18,2001 SOIL ABSORPTION SYSTEM(SAS)' X (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: X overflow cesspool,number: 1 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.) LEACHING IS ONE BLOCK OVERFLOW POOL. OVERFLOW IS` DEEP WITH COVER AT 18"BELOW GRADE.2'WATER IN OVERFLOW,NO HIGH STAIN LINE. WALLS CLEAN. CESSPOOLS: N/A (cesspool must be pumped as part of nnspectionXlocate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation etc.): PRIVY: N/A (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.) Title 5 Inspection Form 6/15/2000 9 Page 9 of OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 CLAM SMELL POINT LANE CGRAT,MA 02635 Owner: REIF,RON Date of Inspection: MAY 1 S,2001 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benclunarks. Locate all wells within 100 feel. Locate where public water supply enters the building. -O 3g O Title 5 Inspection Form 6/15/2000 ]0 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 50 CLAM SHELL POINT LANE COTUIT,MA 02635 Owner: RELF,RON Date of Inspection: MAY 18,2001 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 20 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: Observation site(abutting property/observation hole within 150 feet of SAS) X 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: G.S. Title 5 Inspection Form 6/15/2000 11 _ Ct al) TOWN OF B JARNSTABLE N LOCATION D-1 n4-C O 1-ko- SEWAGE. # VILLAGE ASSESSOR'S MAP & LOT TNSP8T,71DR_0-,=NAME&PHONE NO 4e)6emqSJ, GOe' 721 SEPTIC TANK CAPACITY © GO U -n. LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER '! FABLE® IN +'ECT�CN PERMITDATE: 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 !moo ollbn 3 3q,qfi TOWN OF BARNSTABLE LOCATION SO CL/l�t Sf7I£Lc �t/AlfrAAlt- n g � VILLAGE l G r T ASSESSOR'S MAP LOT /tiSAf c7:,�r S NAME & PHONE NO. A & B CANCO 775-6264 -SEPTIC TANK CAPACITY ��c- LEACHING FACILITY:(type) (size) ` NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER R D All F /�S,®£c76 DATE PEA D: S- DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 61 3�yI 0 r, No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIpplication for Digotal *pgtem Cow5truction Permit i Application for a Permit to Construct( )Repair O Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No.——Q C 1—,#A $/1£41- Owner's Name,Address and Tel.No. Ca7TvjT' �'ia.v of £iFy,2o-3 3�3 Assessor'sMap/Parcel 3,0 CL4M f/¢flL O�VI Installer's Name,Address,and Tel.No. SG aT-775 -o2 roo Designer's Name,Address and Tel.No. NCv 311P , III•- sT w Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building //OPi.SE No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) , {- �:.► r c �c�reJ wj�., "�'I , �le.a��� 40 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 Certifi- cate of Compliance has been issued k this Board of Health. Signed Date �' 8 f Application Approved b - Date ��- Application Disapproved for the following reasons Permit No. ",� Date Issued " 1P_ No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplication for Mi.5paal 6pftem (tow5trLiction Vernait r Application for Permit to Construct( )Repair( Upgrade( )Abandon( ) El Complete System ^dividual Components r Location Address or Lot No.j"41 C 44,* 511.ri.4 A01A,14 d Owner's Name,Address and Tel.No. 0T peal & r e,�' ",� - 3 S3 1 Assessor's Map/Parcel ti Installer's Name,Address,and Tel.No. !/�` `,�7 f -�8`UO Designer's Name,Address and Tel.No. I r1l&C0 3SO omfvo ' 5T 6&-��R Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 94041�f No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterationsn(Answer when applicable) r - �.,/e,� <c.n.C.. /q�f..�cl -Tv L-/�,;, .Gi' ..(✓� J^v6CG/ �, C�c�Gt.(n o''4 ✓?va-y,; C/ — 4 r�-0 /f „. 12 y i ti y,4* /Ge, , j"a G' k e-/ t,, cl�e 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 Certifi- cate of Compliance has been issued k this Board of Health. Signed ?e..%, Date F 7 Tp Application Approved b Date Application Disapproved for the-following reasons s Permit No. <-7— Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired( , )Upgraded( ) Abandoned( )by A r oll-oca 13-Q ^,4/,v 5 r A,- �,#/c at .§-0 C 44M d.44 400,0*7 '1 4, C 070/7 has been constructed in accordance with the prpivisions of Title 5 and the or Disposal Systefn Construction Permit No.9 "1,Z dated Installer _ Designer The iss nc�of is remit shall not be construed as a guarantee that the syst ill fu ti�sdesigneijjK.Date / / Inspector No. �/ ^ / ————Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mitpogal *potem Con5truction Vermit Permission is hereby granted to Construct( )Repair(k)Upgrade( )Abandon System located at .5'00 C44A _4%0 Y.4-4 14OW7_ �-A,— (,e/3" and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this emit.Date: ,��'°' � Jam' t Approved by a�11 �;1��� q/lil�✓1 TOWN OF BARNSTABLE LOCATIONS ( 1; � ;1y It �s rr.,,� SEWAGE VILLAGE.)4 ASSESSOR'S MAP St LOT 00(, INSTALLER'S NAME & PHONE NO. -EiTEO 775-6264 SEPTIC TANK CAPACITY n LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 TOWN OF BfARNSTABLE �y LOCATION C(N-, akg •n4 lE,r� _ SEWAGE VILLAGE ��i�'e i ASSESSOR'S MAP & LOT 006, INSTALLER'S NAME & PHONE NO. -6264 SEPTIC TANK CAPACITY /W)e rl LEACHING FACILITY:(type) i{' (size) NO.OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �� DATE PERMIT ISSUED: i- �'��,�, �► �0� � DATE COMPLIANCE ISSUED: l VARIANCE GRANTED: Yes No r Y J�' M C�EGA' CU-1 -- - --- i SYSTEM DESIGN: SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES LEGEND MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS FOR FUTURE LOCATION. APPROX. NGVD PROVIDE WATERTIGHT MIN. 20" DIAM. (NOT TO SCALE) 1. DATUM IS 99 -- EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE BLOCKS OR CONCRETE COVERS TO WITHIN 3" GRADE 2, MUNICIPAL WATER IS EXISTING Fine i ge X 99•� EXIST. SPOT ELEV. \ PRECAST RISERS DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 1.1' PEASTONE H-10 Q. cows 40.0 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM m 99 PROPOSED CONTOUR USE A 330 GPD DESIGN FLOW MORTAR ALL 3' MAX. COVER 4. DESIGN LOADING FOR 500 GAL. PRECAST UNITS TO BE 198.4] PROPOSED SPOT EL. � COMPONENTS AASHO H-10. ST/PC TO BE H-20 $ �COVER TO GRADE 4"fdSCH40 PVC a TH1 SEPTIC TANK: 330 GPD (2) = 660 PIPES LEVEL 1ST 2' INV'S EL.36.0' 5. PIPE JOINTS TO BE MADE WATERTIGHT. °i a _ TEST HOLE USE H-20 2000 GAL. ST/PC _ . • ACCORDANCE WITH • 37 0 BE IN ACCO COMBINATION "�. ,o. 6 CONSTRUCTION DETAILS T 2% SLOPE OF GROUND #' H-20 2000 GAL 7, .000 QQQQQ ®0 oaao_oaoo °°°°°°°° 310 CMR 15.000 (TITLE 5.) 32.7f TEE ST/PC COMBO C °O°p°O O°O°O O ° ®®® oo°o°o I�al�al�l�l�al�O >° ° ° °° LEACHING: ° ° ° ° ° ° ° ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Q� UTILITY POLE - SEE DETAIL o o°o"oo 000°o o° �(�`' o 0 0 0 0 0 0 0 0 00°°°0 0 0 0 0 0 o o o ;00000000SIDES: 2 30 + 9.83 2 .74 - 118 GPD � j ° ®�aaaoa000® ° ° oaaoo�o�o�0 0 0 °°° ° ° ° ° ° BE USED FOR LOT LINE STAKING OR ANY OTHER N 0 0 0 o 0 0 0( ) ( ) 36.30' 36.13' `� o aoaaaa�aDOa o0000o a�aDaOa�0�0 ;00000000 34.0' PURPOSE. FIRE HYDRANT 0 '°po°°° ' °o°o°000 ry BOTTOM 30 x 9.83 74 = 218 GPD •: ::: • : ° ( ) ' 6 MIN. SUMP 5'- " Vs NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING O O O O O O O O O O O c 12" MIN. INT. DIM. ENDS BET. SIDES 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. �y PO onesset O O o 0 0 0 0 0 0 0 0 o LH-10 500GAL LEACHING CHAMBERS BY ACME PRECAST (OR EQ.) �d dTOTAL: 454 S.F. 336 GPD 0000000°O°o°o°o°o°o°o°o� " P ^ '� 3/4 -1-1/2" DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 500 GAL. LEACHING CHAMBERS ACME OR EQUAL �- 6" CRUSHED STONE OR MECHANICAL '�r �l WITHOUT INSPECTION BY BOARD OF HEALTH AND !e Bay USE (2) ( ) COMPACTION. (15.221 [2]) PERMISSION OBTAINED FROM BOARD OF HEALTH. WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' G I� OVERALL DIMENSIONS TO OUTSIDE OF STONE: 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP BETWEEN UNITS t 1 O 40' x 10' AND DIGSAFE (1-888-344-7233) AND VERIFYING THE 6.5' LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES NOT TO SCALE PRIOR TO COMMENCEMENT OF WORK. ( 1 % SLOPE) ( 1 % SLOPE) 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED ASSESSORS MAP 6 PARCEL 5 BOTTOM TH-1 & TH-2 " LEACHING FACILITY. ' LEACHING NO GROUNDWATER FOUND 27,5' FOUNDATION EXIST. EXISTING 28' D' BOX MAX. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND SEPTIC TANK FACILITY REMOVED. MA APPROVED DATE BOARD OF HEALTH ACCESS FOR ROUTINE MAINTENANCE ° PROVIDE ACCESS COVER INSTALLER MUST FOLLOW ALMUST BE PROVIDED FOR L TEST FILTER. To FINISH cvwE TEST HOLE LOGS MANUFACTURER'S SPECIFICATIONS FOR PROPER FILTER INSTALLATION ENGINEER: ARNE H. OJALA, PE, SE NOTE: 400+ GAL. RESERVE POPONESSETT BAY � �_�._'- PROVIDED IN Pc WITNESS: DAVID W. STANTON, IRS ALARM AND CONTROL PANEL ,,,�, ,, , \,, , , ,�,�, , , DATE: 12/10/10 TO BE INSTALLED INSIDE �i�i?�1��•� !��/����?�✓\o�,' BUILDING. ALARM TO BE ON INV. IN 32.7' PERC. RATE < 2 MIN/INCH _ SEPARATE CIRCUIT FROM PUMP 2" PRESSURE LINE *THE INSTALLER SHALL VERIFY THE •• �4.2° zABEL FILTER 13138 x• T (A100) 14" TEE SLOPE TO DRAIN BACK CLASS .SOILS P# LOCATIONS OF ALL UTILITIES AND ALL �32 j FLOAT SWITCH ALARM ON BUILDING SEWER OUTLETS AND OUTLET TEE W EXTENSION WEEP HOLE SETTINGS: 1500 GAL. MI . •••� PUMP ON CHECK VALVE ELEV. ELEV. 6 WORKING RANGE OF BAFFLE 1 2 ' � � '�?? 6" THIS SIDE ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM / � �•• MYERS SRM 4 p,$ 39.5 p.. 39.9 / `� •�" 6" 8.0' SUBMERSIBLE 4/10 HP PUMP O/A O/A / •\••'�.,, PUMP OFF 8" SYSTEM (OR EQUAL) 35. 6.95 (ON BLOCK) SL SL 000 00000 EXIST •�•• 4 DOSES PER DAY, AT 55 GAL. PER o00000 0000 000 DODO 1OYR 3/1 1OYR 3/1 BLDG A c•., DOSE 6" WORKING RANGE) 1 1 3" 3" 36.17 Bq� 6" BAFFLE /V N�•••'-1;36.89 E s Q - v 2000 GAL H LC SEPTIC TANK//P1%-.11MP CH„ - MBLER COMBIN.A , SON - FS Fs ,l•1.59 `•. (NOT TO SCALE) 6" 1 OYR 5/1 6" 1 OYR 5/1 .34 7.10 y GAS 37.24 DECK 37.63 ••'�34.99 LS LS METER 69 ') 32" 1 OYR 5/6 36.8 36" 1 OYR 5/6 36.9' 37.76 31.2 0 � DWELLING C C � .46 37.29 PERC PERC T BENCHMARK .85 CS CS COR CONC. PA GARAGE ELEV. = 39.T METE .96 I 9.29 3 xC. 8 rn �. 10YR 7/4 10YR 7/4 4 F x ���0� �39.so- - - 3 x �S 0 27.5144" 27.9' 144 37. c� BRICK w 9-a5- - - 1 �° NO GROUNDWATER ENCOUNTERED . 6- PROP. 2000 GAL ST/PC COMBINATION I 1 3 .®5 20" OAK 4 4 318. x 3 •73 IN PLACE OF EXISTING SEPTIC TANK 1 �. I I / 1 (SEE DETAIL) � � I 29,390LOT �SFf i 51 I I x 3 x 3 3 4/i{�,¢'p.23 I STONE 3 9 �` r�- _ _-,c 39 5✓� I DRIVE 1 it �.�i{! .g 12" 3 1 EXIST. BLOCK CESSPOOL �-'`' I\ / x 40.48 1 x39.7 \ x .42 TITLE t•�e I x 4? PROP. VENT WITH CHARCOAL FILTER O F i� AND BUGSCREEN (FINAL PLACEMENT BY I38.02 % 1� 39 84 CONTRACTOR WITH HOMEOWNER CONSULTATION) 38 TH 2 x 40.0 x 406'�- x 40-.96 50 CLAMSHELL POINT LANE ,�I 1 x 4 . 9 TH 1� 15• � COTUIT x 39 OAK 40.49 38.43 1 3-50 8. 3,35� WIRE x 4,.oa PR NN EPARED .FOR N x71 V 4t .0 ' �40.9 xo 0.91 x .75 � BORTOLOTTI CONSTRUCTION/ x'38 47 EDGE PgVEMENT 56 .93 DAGMAR LILES-METER 3 22 CLAMSHELL POINT LANE 4°•O6 JANUARY 20, 2011 REV FEB. 28, 2011 REV MARCH 3, 2011 (4 TO 3 BR DESIGN CALCS) REV MARCH 4, 2011 (ST/PC ADDED) Scale: 1"= 20' 0 10 20 30 40 50 FEET HOF41, � �ZNOFMgSs s%^ � OF MASSq . �g DANIELA. DANIRLA. DANIEL 9cy� c) DANIRLA. cy�s off 508-362-4541 OJALA m OJALA o A. • o� OJALA fax 508-362-9880 0 80 L " OJALA CIVIL downcape.com ., N .465 2 No.409F3(i No.46502 . °�ESS1°� T a�� °Fo © ��� down cape engineering inc" -j'N .01 �0 S SS �G\ �� T B \� J �0 "`� � civil engineers Ian d surveyors DATE DANIEL A. OJALA, P.E., P.L.S. 939 Main Street ( Rte 6A) 0-27 > YARMOUTHPORT. MA 02575