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0044 KIMBERLY WAY - Health
44 Kimberly Way --- Cotuit J 027 053 No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS appliLation for disposal *pstem Construction permit Application for a Permit to Construct( ) Repair(Xl Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 4 Kl t-A0,Q '+ WA I Owner's Name,Address,and Tel.No. Assessor'sMap/Pazcel Q 7.7 �, 00jrotT � — Installer's Name,Address,and Tel.No.5_t) — Designer's Name,Address,and Tel.No. dAPGW DT : /A80 W Ids Type of Building: Dwelling No.of Bedrooms 04 C Lot Size sq.ft. Garbage Grinder( ) Other Type of Building SL No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Da Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 3lJSTt�(, St-p ®%,V (IyC L—( OP sen t G Ty(oL AyJj) ?j c.e.)' axg—r -1EC 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 H t . gned Date Application Approved by Date l e Il Application Disapproved by Date for the following reasons Permit No. l`r Date Issued 66 75 J No.,) I / ! > Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yell' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for VepoBA'f 6pstem Construction permit ,i Application for a Permit to Construct(, ) Repair(X Upgrade( ) Abandon( ) ❑Complete System *individual Components F Location Address or Lot No. 44 ki t1UURL.j Wo Owner's Name,Address,and Tel.No. Assessor's Map/Parcel,(Ya - cla 6 r (� a dQr`f O, A ,Q V41 LLLOK Installer's Name,Address,and Tel.No.S,6Z-4-7?- 7fl-11 Designer's Name,Address,and Tel.No. dAeswtoe �. /Pao li rs �� . �-r- tir per' Type of Building: le I ' Dwelling No.of Bedrooms Lot Size sq.ft' Garbage Grinder( ) Other Type of Building t liV t No.of Persons Showers( Cafeteria( ) Other Fixtures ( I Design.Flow(min.required) ) ' gpd Design flow provided gpd Plan Date / Number of sheets Revision Date r rr: Title P y. ! i Size of Septic Tank. Type of S.A.S. s Description of Soil Nature of Repairs or Alterations(Answer when applicable) ;UST ALL_ALL_ I$�� �� (��C-`- 0 sue'l G 'nv L -&jb x3 cw l tV 6E-r 'Fg /'iDate last inspected: /J 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;his Board of H a, i. ed 'bate*, J� ® �� Application Approved by Date / 41 11,o Application Disapproved by �--- - Date s for the following reasons , Permit No. 0 6 f ,-5 3 Date Issued <—j !/Q J i ci THE COMMONWEALTH OF MASSACHUSETTS e/ BARNSTABLE,MASSACHUSETTS Ceftifitate,of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 0_APC- it tD E_ 6)V11- at � �����,� Le..)A\/ do?e)r T - has been constructed in accordance - - -with the provisions of Title 5 and the for Disposal System Construction Permit Nq,);,/� -f, dated L/Jf 0 / _i Installer W6LJJ 11/G f1/ IJ /_x&o Designer 044 1 , #bedrooms Approved design flow /I gpd The issuance of this permit shall not be construed as a guarantee that the system will ction asdesigned. Date 1 C Inspector , �'✓ �L J� -> - ---- - --- -t-:---------- ----------------------------------------------------------•----- ----- ------------------------------------- t Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf *pstem Construction permit Permission is hereby granted to Construct( ) Repair O Upgrade( ) Abandon( ) System located at � �A( L y tiiCh��f '�Q { tJ tom" 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 A'be,,completed within three years of the date of this permit. ----"-�-'__ Date 'f' I ( /(( .Approved by C _..._.� c Commonwealth of Massachusetts da 4 -b0 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Nam information is required for every Co-uit MA 02635 5-3-19 » - 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. ,````..(►t11OF Important:When A. Inspector Information vl �`'�� ........... ••9c''�. filling out forms '�' t-S-4e t-- a •• y on the computer, 3��.� JAMES :R,' use only the tab James D.Sears =�: key to move your Name of Inspector rn cursor-do not CapewideEnterprises i,•. use the return 7.FRTUr I key. Company Name �iz� ee*.••• •• 153 Commercial Street rN ICI Company Address Mashpee MA 02649 City/Town State Zip Code reuan 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CM 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 4 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Lc.a- 5-6-19 nspector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 f Commonwealth of Massachusetts s Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: The system is a 1000 Gal Tank D Box and two trenche's. 2) 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. I *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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 . 5-3-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumpslalarms.not operational. System will pass with Board of Health approval if pumps/alarms are repaired. backup or break out or high static water level in the distribution box due ❑ Observation of sewage bac p g to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed' ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled'or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ' ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. - El The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) 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 El ® due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of In C. Inspection Summary (cont.) I 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in I is less than 6" below invert or available volume is less than '/z day flow 1-,F*'y/A4 ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA .02635 5-3-19 required for every State' Zip Code Date of Inspection page. City/Town C. Inspection Summary.(cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMF2 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: 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? s . ❑ ® 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 siteT ° ® ❑ 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? a ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health.. ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/2612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. 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 Description: 1000 Gal. Tank D Box and two trenche's. 0 Number of current residents: Does residence have a garbage grinder.? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usa e d 2017-65,000GaIs g ( y g (gp ))� 2018-36,000GaI's Detail: Sump pump? ❑ Yes ® No -Last date of occupancy: NA t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Foam -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? _. ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2004- Permit #2004-368. Were sewage odors detected when arriving at the site? ❑, Yes ® No 5. Building Sewer•(locate on site plan): 42.. Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is PVC SCH -40. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 r c Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .V 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotult MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 'Depth below grade: 32" feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal. Precast H-10 Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle 27" 3" Scum thickness Distance from top of scum to top of outlet tee or baffle 81' Distance from bottom of scum to bottom of outlet tee or baffle 15" e How were dimensions determined? � Asbuilt-Tape Sludge Judge 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 and inlet cover at 32" below grade w/outlet cover at 1'. Inlet tee. Outlet tee. No sign of leakage or over loading. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments W) 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): I Depth below grade: feet Material of construction: I ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete . ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 11 of 118 Commonwealth of Massachusetts Title 5 official Inspection Form . Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 5-3-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information(cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): M = Depth of liquid level above outlet invert 0 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.): D Box is 16"x16"-25'.below grade w/two lines out. Box is clean and solid w/no sign of over loading or solid carry over. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form F e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No` Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ Teaching chambers number: ❑ leaching galleries • number: ® leaching trenches number, length:- (2)4'x1'x40' ❑ "leaching fields number, dimensions: , ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form <� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is 2 trenches at 4'x1'x40'. Check area-ck D Box and camera out line's. No sign of over loading or solid carry over. No sign of holding water. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form < Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way Property Address Fannie Mae Owner Owner's Name information is Cotuit MA 02635 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 e >a x MR, 3 -.3 - 3 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ie Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way u Property Address Fannie Mae Owner Owner's Name information is required for every Cotuit MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells No Estimated depth tclf'�i`gh ground water: 10' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Auger T.H. 10' no G.W.. Bottom of Trench 3'-6" below grade. Bottom of trench at 6'-6"above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 V Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 Kimberly Way . Property Address Fannie Mae Owner Owner's Name information is required for every COtUIt MA 02635 5-3-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included G�AD� -79, 10 &710,� fit cl - N° t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 TOWN OF BARNSTABLE BAR-W }Cr Ordinance or Regulation WARNING NOTICE Name of Offender/Manager M/i�V__ r,,64 Address of Offender L-/1,1} MV/MB Reg.# // Business Name { am/pm, on / / 20 / _ r Business Address /ice ✓ f/� _ Signature of Enforcing�Officer Village/State/Zip Location of Offense Enforcing Dept/Division Of f en s e /A ai' Facts 11/1 9 -A' ,�'•� �a/�,� �7 A�,/l���_ S l A .l,f' � � ��Gt...r,.-x. g( c� C..•�� f f i'�'1"��`'t� �'►L�r _fit t This will serve only as a warning. At this , ime no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate le al action b the Town. ,,,. . # g Y � � tom, WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager V Address of Offender I MV/MB Reg' .# Business Name am/pm, on 20 Business Address 1nfor' g fficer Signatur;b' of cin Village/State/Zip Locatio i n of Offense Enforcing Dept[Diy`ision Offense A7 V Facts 114-11h , This will serve only a`s a, warning. At thistime no legal action has been taken. It is the goal of Town' agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. J IHME r � Town of Barnstable MAS& Regulatory Services 9 Mom. 059. 0 Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail#7015 1730 00014990 1529 May 2, 2017, Mr. Mark Elliot 44 Kimberly Way Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 44 Kimberly Way, MA was visited on April 26, 2017 by Marybeth McKenzie, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: §54-3 (A) Outdoor Storage Large amounts of items observed which were not screened from public view in accordance with Chapter 54, Town of Barnstable Ordinance. The items included, but were-not limited numerous trash bags full of refuse. They were noted to be surrounding the sides of the house. You are directed to correct the violations within seven (7) days of receipt of this order letter by disposing said items or storing all mentioned items from public view or in.an enclosed structure. You may request a hearing before the Board of Health if written petition re uestin same is Y q g P q. g received within ten 10 after the date the order is served Non-compliance will result in.a ( ) days Y P fine of $100.00 per violation. Each day's failure to comply with 'an order shall constitute a separate violation. Should you have any,questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BO OF HEALTH c ean, Director of Public Health Town of Barnstable Q:\Order letters\Refuse\44 Kimberly,MM refuse complaint letter.docx NAME J4/ r / t rj " BAR 72206 TOWN OF ADDRESS OF OFFENDER BARNSTABLE p4}` �►'qk, CI4SATE ZIP CODE MV/MB REGISTRATION NUMBER ' OFFENSE HAX".."'J:. - j( .eyv ' � t 1 1�,�r C...v �t LJ %� �s'rti e�/• R O LU /�jj'r �yEO !s'•W ,.l tJ •.+»+.�a'! 1T.�.✓f(�,.J R-/'••a�4!A. . f '�" 7' ../ / '.,.✓' .. L TIME AND DATE OF VIOLATI _� f LOCATION OF VIOLATION NOTICE OF u —:�i'��M�:�/ P.M.)ONr / f,20 SIGNATURE OF ENFORCING PERSON ENFORCING DEPT. BADGE NO. W VIOLATION 1'tJu v/. .� rY � r� rrA � "'' fn OF TOWN I HPEB'ACKNOWLEDGE RECEIPT OF CITATION X r LU a ORDINANCE 1111 Unable to obtain signature,.offender. THE NONCRIMINAL FINE FOR THIS OFFENSE I Date mailed q/112111 S a f W OR W YOU HAVE THE FOLLOVIING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N REGULATION (f)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q before:The Barnstable Cferk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money:order or postal note to Barnstable Clerk,P. Box 430, . Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST. UNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature Town of Barnstable MAS& Regulatory Services 1639. y Mass. g' Public Health Division Thomas McKean,Director 3 200 Main Street, Hyannis, MA 02601 . Office: 508-862-4644 Fax: 508-790-6304 Certified Mail# 7015 1730 00014990 1529 May 2, 2017 Mr. Mark Elliot 44 Kimberly'Way Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 44 Kimberly Way, MA was visited on April 26, 2017 by Marybeth McKenzie, R.S., Health Inspector for the Town of Barnstable. This inspection.was conducted in response to a complaint filed with the Public Health Division. i The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: 04-3 (A) Outdoor Storage Large amounts of items observed which were not screened from public view in accordance with Chapter 54, Town of Barnstable Ordinance. The items included, but were not limited numerous trash bags full of refuse. They were noted to be surrounding the sides of the house. You are directed to correct the violations within seven (7) days of receipt of this order letter by disposing said items or storing all mentioned items from public view or in an enclosed structure. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served Non-compliance will result in a fine of $100.00' per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOA OF HEALTH c ean, Director of Public Health Town of Barnstable Q:\Order letters\Refuse\44 Kimberly, MM refuse complaint letter.docx •• • r3.1 V'1 r: _;, . p^ Certified Mail Fee *�� 0' $ _r F-7ctra rvIres&Fees(check box,add fee as appropn ) W etumReceipt(hardcopy) $ ��W ❑Return Receipt(electronic) $ l Qt�Aos&?dlk C3 �rtifled Mall Restricted Delivery $ v1 Here t_3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ �,Q O Postage �0 b w �� Irl $ Total Postage and Fees $ ul Sent To C3 Street a Apt.No. or PO Bo 11(0. N City S te,Z11�+4���• ---- �•-----"-�-� ---------------------••--- Certified Mail service provides the following benefits: a A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail a A unique Identifier for your mailpiece. associate for assistance.To receive a duplicate a Electronic verification of delivery or attempted return receipt for no additional fee,present this- delivery. USPS®-postmarked Certified Mail receipt to the 1 a A retard of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides Wit' for a specified period, delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not T First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which a Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. - r r and provides delivery to the addressee specified. ■Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the a To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a-y certain Priority Mail items. USPS postmark.If you would like a postmark on-,- a For an additional fee,and witha proper this Certified Mail receipt,please present your _ endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. 771 electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Forth 3800,April 2015(Reverse)PSN 7530-02A00-9047 pp 1HEd Town of Barnstable U.S.POSTAGE>>PiTNEY BOWES Public Health Division L;•' ® 9ARNS ABLE. • ' 4' d�G�7 MASS. g 200 Main Street �i°JFD MP'�P 0 Hyannis,MA 02601 : t 0ZIP 2 02601 $ 006.560 1111111 oil 0000336455 MAY. 03. 2017. 7015 1730 0001 4990 1529 I ; Mr. Mark Elliot 44 Kimberly Way ! �� Cotuit, MA 0, 1st NOTICE_S - v 8v v-�z J v:JJ i. d y LINCLAT;VIED $ r r-. . ...... � i��9�S`v Tv L O�.aed r�i�i ar SC; 0-260 _ . 1.400200 *0222—.04317-03--42 Q�-- 'r"�.r2�� i i.lii iilll. �i�--i 1�_�..�t��► i 11 - �ii ol9d. `1 " _. J I A ❑Agent Signature i a Complete items 1,2,and 3. � I ■ Print your name and address on the reverse X ❑Addressee I so that we can-return the card to you: i W Attach this card to the back of the rnailpiece, B. Received by(Printed Name) C:..Date of Delivery I I or on the front if space permits: t 1 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below: p Na I i L.0 i�-f 42�35� i 3..II Service Type ❑Priority Mail Express® 1 I IIIIII Ilil III I III I II I II I I I I IIII II I I III II III o Adult Signature ❑Registered Mail O}dull Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® qeI every I" 9590 9402,2480 6306 7765 82 ❑Certified Mail Restricted Delivery Orfietum Receipt for i i ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation i 12: Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation / Restricted Delivery 7015 ,1730 _0001 4990 15291 ❑Insured Mao Restricted Delivery Lp (over$500) i Domestic Return Receipt i PS.Form. ,.July 2015 PSN 7530-02-000'-9053 Town of Barnstable y BARNSTABLF- Regulatory Services s � Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail# 7015 1730 00014990 1529 May 2, 2017 i Mr. Mark Elliot ` 44 Kimberly Way Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1 The property owned by you located at 44 Kimberly Way, MA was visited on April 26, 2017 by Marybeth McKenzie, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: 04-3 (A) Outdoor Storage Large amounts of items observed which were not screened from public view'in accordance with Chapter 54, Town of Barnstable Ordinance. The items included, but were not limited numerous trash bags full of refuse. They were noted to be surrounding the sides of the house. You are directed to correct the violations within seven (7) days of receipt of this order letter by disposing said items or storing all mentioned items from public view or in an enclosed structure. You may request a hearing before the Board' of Health` if written petition requesting same is received within ten (10) days after the date the order is served Non-compliance will result in a .fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any.questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOA OF HEALTH c ean, Director of Public Health Town of Barnstable Q:\Order letters\Refuse\44 Kimberly, MM refuse complaint letter.docx TOWN OF BARNSTABLE BAR-W M00 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ���% Address of Offender 4�t� w " " b �' - MV/MB Reg.# Village/State/Zip l.A�� MA Business Name AZA 4� am/pm'y, on =� � 20 1� s Business Address Signatu; of Enforcing Officer Village/State/Zip , „ Location of Offense �� " Enforcing Dept/Division 0f f ens a Facts 1"%'� op, _ `II'" ��i� �, i w•� 'y�.;�. � '. This will serve only asua warning. At this time no legal action Has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. 3 TOWN OF BARNSTABLE BAR_W 3179 '"`Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ' Address of Offender 141. � t" MV/MB Reg.# Village/State/Zip Business Name 2 am/pm on ' 20 r — Business Address , } Signatu" _fiof Enforcing Officer Village/State/Zip Locatiaon of Offensei C. Enforcing Dept/Division Of f e n s e _ _ � tiu ' 1 - Facts s This will serve. only as 4a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. :1;`.....� .t .. ....:e n_ :-.i i.'•` 1 r,-.nlw+./ ( M <.} w'iT{71 Y TOWN 'OF BARNSTABLE C BAR-W 5 2. 4 Ordinance or Regulation. -71 -327--/5-7 Si WARNING. NOTICE Name of Offender/Manager _ar4' .. 151 hA Address of Offender MV/MB Reg.# Village/State/Zip U 11 . MA � C .t Business Name 0 �/�am/pm, on l020 / I� i Business Address Signatu of Enfordl-g Officer Village/State/Zip 4�1�)Ilc ! J�Location of Offense y '#`� M - ,, I'4x- i� G/ �h Enforcngt•Dept/Division Offense 10 ,; r:M1Z L4 IQ, 'yP'L N NtA, 5-,iw ro1)wb � Facts roj_ o 1 h 4 arC�Q = (1,N 4�4(_Odn + '�rrtd 44 WP t kAC.,,. PO So �iv+aAne __�es�, ca>,a ry J , U S T I M I / ►17t i�14kH&,VZS This will serve only as a warning. At this time no legal action has been taken. It is the goal of- Town agencies to achieve voluntary compliance of .Town Ordinances, Rules. and Regulations. Education efforts and warning notices are attempts to .gain 'voluntary compliance. Subsequent _ violations will result in appropriate legal action by the, Town. WHITE OFFENDER CANARY ORD/REG.-PROG PINK ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W # Ordinance or Regulation ..-7 7 5! WARNING NOTICE Name of Offender/Manager `Ar .A ' Address of Offender '^ Vw4m. 09 Lxn MV/MB Reg.# Village/State/Zip 0r)-jru j-1 MA ' � . Business'Name /pm, on 7a IM 20 J r Business Address Signatu a of Enfordkng Officer Village/State/Zip Location of Offense " � � 3 K.�O / � + Enforcing Dept/Division Offense t` r ffi �4 1(1. 44�q-,. F, Facts _ �� D1 i A § 1�J a 1*0 AC- - 94 14&rz i So AA,-::' k4k�,-�7 _'N"1jr_ r-a I MMA;_7 h I?F-NW F,() kV?76 A/ This will serve only as a warning.' At -this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary., compliance of Town Ordinances, Rules and Regulations. Education- efforts -and' warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. r WHITE-OFFENDER CANARY.-ORD:/REG.:°PROG. PINK ENFORCING OFFICER GOLD-ENFORCING DEPT. 1 t x � TOWN OF BARNSTABLE BAR-W ', Ordinance or Regulation - d,7 51 WARNING NOTICE Name of Offender/Manager :� f! ." 4-1 Ll r Address of Offender raa a- }# ^Y 'r_ . arts MV/MB Reg.# Village/State/Zip r f _) i i '' Business Name 10 t,t'am/pm, on r 20 F Business Address Signature of Enforcing Officer Village/State/Zip Location Of Offense L IQV Enforcing `Dept/Division Offense Facts Fl ��d t 1 F 1.. rw.4 • 2l� a11 '1 ai "f"7 a 4. This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. j 1 WHITE-OFFENDER CANARY-ORDJREG. PROD. PINK-'ZNFbRCING OFFICBR GOLD-ENFORCING DEPT. ii a y No. 0� ✓ 100 f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes `PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS y. ZippYf catf ou for. nigaat *potem-6-nttruct ors .3permit Application for.a Pemut to Construct( )Repair( )Upgrade( )Abandon( ). EJComplete System 01ndividual Components Location Address or Lot No. C � Owne ' Name,Adc /and;•ej.No. �p�/pp U � �v / Assess orp�ylPl�.arce - Install]Naipe,�dress, d Tel.N9r�• - Designer's Names and Tel. ' -900C Sv o�,oce�aa.G�`1Il�• wog'�>�� gG� Type of Building: ` Z Dwelling No.of Bedrooms Lot Sizeey 0.3-f sq.ft. Garbage Grinder( ) Other Type of Building �S/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow © gallons per day. Calculated daily flow 3--� gallons. Plan Date /•Z .3e 0,3 Number of sheets Revision Date o 03 Title Size of /Septic Tank �5��0 �T! a s-..- Type of S.A.S. �•�-sue. t Description of Soilan _ /" ca-,2 Nature of Repairs or Alterations(Answer w n applicable) �� �'L2u� Q"-•�s Date last inspected: Agreement: The undersigned agrees to ensure the cons ction and a•ntenance of the afore described on-site sewage disposal system in accordance with the provisio a nviron al Code and not to place the system in operation until a Certifi- cate of Compliance has ssued is It r+ Si ned Date 4v Application Approved by rl-A ZQ 95 Date . n Application Disapproved for the ollowing reasons Permit No. 2001'3 Date Issued J N\ No. O d 3.6 > li' 1, i. Fee ;± / Entered in com uter:`� �. . THE COMMONWEALTH OF $'ACHUSETTS p - r . ,�, � Yes PUBLIC.IiCCT�i DI ISION -TOWN OF BARNSTABLE, F. CHUSETTS% , TLpprfcatiou for bigpool *pgtem Cougtructiou Permit Application for a Permit to Construct( ,. )Repair( )Upgrade( )Abandon( ) O Complete System b O Individual Components Location Address or Lot No. �{ rH��t `" y Owne ' Name,Add and e.No. t Assessor's,Map/Parcel .� � `� d ,�° • �' r�t.�'ts r! �, Installer's Name,Address,,and Tel.Nor: Designer ' s Name,Address and Tel:No 74 Type of Building: , Dwelling No.of Bedrooms_ Lot Siz oi0& sq.ft. Garbage Grinder( ) Other Type of Building -5� No. of Persons Showers(, ) Cafeteria( ) Other Fixtures Design Flow ':ZfG7 gallons per day. Calculated daily flow � gallons. Plan Date �`�f� 0--3 Number of sheets Revision Date �w 3 Title Size of Septic Tank Type of S.A.S. 0-4�, �r - �-S. _ Description of Soils Nature of Repairs or Alterations(Answer w -n applicable) �� Date last inspected: y Agreement: The undersigned agrees to ensure the constmction and a'ntenance of the afore described on-site sewage disposal system » in accordance•with the provisions-of-Tit e nv' n al Code and not to place the system in operation until a Certifi- cate of Compliance has ee sue is It Si P7�J/d ed, _ Date Application Approved by Date Application Disapproved for the following reasons Permit No. Z?fJU'-/_ 3 Date Issued �/� v tv —-- I } J,A \ A �%' THE COMMONWEALTH OF MASSACHUSETTS . BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (V)Upgraded( ) Abandoned y C� at ICr m t2P/ wP r. has been construc ied i accordance with the provisions of Title 5 an the for Disposal System Construction Permit No. 21M-36k dated 71,2, t/ Installer Designer The issuance of.(hirs permit shall not be construed as a guarantee that the system will fujiltion as designed. Date i �''1 Inspectors No. Duo -I � _�6.� - Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digpogai *pgtem Congtructfon Permit Permission is hereby grant d to g1onstruct( �)RepairXsf' U rade( )Abandon( ) System located, �! 7<.M HNC� C- and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. R Provided: Construction must.be completed within three years of the date of t is ermit Date:_ / u l� Approved by TOWN OF BARNSTABLE LOCATION y K;M erk SEWAGE # nD VILLAGE a S 5 SS SO MAP &LOT 0-27Q 6S d C, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY. /5'00 cal tf-lo LEACHING FACILM: (type) �('et"C�ieS (size) 2 I'S NO.OF BEDROOMS `3 BUILDER OR OWNER PERMITDATE: + 7�.23Ia`� COMPLIANCE DATE: v 1-1 Separation Distance Between • Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 6 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 I& Feet i within 300 feet of le hin facili Furnished by t yGat+r , �►G+rLLZrNG 55 ,h� n 00) 9 �.© -70 -V. F S 08/05/2004 13:15 FAX 5089471090 a O1 Aug 05 04 01:05p Tim Bennett 508-633-4887 p.2 Town of Barnftble g ► SWWCCS sumThamas F.Geilea•,Dxdur, PUbHc Ha"Division Thomm mdC e&N Direewr zoo MaW Strait,>Eijsnais,M,ozaox Of6c-- 508-M46" P+uc 5C8-79G6304 Date: g �' Address: t?Y Svc w a ter u hor. a Zon r� o (dam) was iNde a permits t®iastall a Cam) ti 8epac system at 4W X-aidmg►A based nn a design I dmv. (address) dated—i4/`�, Z003 I certify that the SCPW system referenced above was ia.t o d substantially a000Tdmg to the des4A. x I ft ��rystaln a °m d above was installed wi lb changes bet Yu desigpa r to follow. gabtions. Revision or desti ad as buds by VA CMt. OIS (Designer's Sigttamre) (MG Sty lime) dpTM ` Q- CWdio m Faem M 4 _ . k. �. E LOC LION / SEWAGE PERMIT NO. VILLAGE Cf) . IN STA LLER'S NAME & A"D� RESS Ass R U I L D E R OF ow, J a � a. � �L // s 17>i/" DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � �� . �� ���� a� �Qt�s� a.3 t� � �� � �� LOCATION SEWAGE PERMIT NO. k6T O wl0ow VILLAGES- pS� INSTALLER'S NAME & ADDRESS 8 U I L D E R OR OWNER `OF-I-1w E;Y DATE PERMIT ISSUED ? �.� bq DATE COI'APLIANCE ISSUEDj� � I ,c y �3 No.i�IVYZ .................. Fms .... ............... THE COMMONWEALTH OF MASSACHUSETTS ARD,5F HEALyTH et-'L4 ...OF............................................................. ..................... Appliration for Bi-spaiial Workii Imitrurtion rnmit Application is hereby made for a Permit to Construct (� or Repair an Individual Sewage Disposal, System at: .. .... .......... . ........ ..... .... .... - Location----------- Oca;io,,n*'A' s ......... ................ .. ....... . . ... ...... .... ....... . ................ E•........................................... wn C�A ss s...................... ............ ...... . ............... ...................... ........... .............Z.................................................... Installer Address Type of Building Size Lot.(. ..Sq. feet U ms............................................Expansion Attic ( )Dwelling—No. of BedrooGarbage Grinder ( ) Other—Type of Building ............................ No. of persons.........._..........._.__.. Showers Cafeteria ( ) Otherfi ........................................................................................................... . ............Design Flow............ . . . .......................gallons per person per day. Total daily flow..............3., A _____gallons. Ix Septic Tank—Liquid capacity/006allons Length................Width..............__ Diameter____.__..-_____. Depth....._........_. Disposal Trench—No. .....A/ Width._ Total Length........._. Total leaching area sq. f t. m et > ... Depth below inlet....... Seepage Pit 1�0-w-pn- ...... Total leaching area'....,.....J.......sq. ft. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Perf6rmed by.......................................................................... Date........................................ 14 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..__................._.. Test Pit No. 2................minutes per inch Depth of Test Pit.............71..... Depth to ground water.__................._._. /..................... ................................. VW _ 0 Description of Soil......6=. ....... .1----------- An. . ........./.7...... -------- - . ... .... w ----------- .................. .... .. ........ ............................................ ---------- U Nature of Repairs or Alterations—Answer when applicable.................................................................. ......................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TLI'LLE 5 of the State Sanitary Code— e u rsigned further agrees not to place th syste in u rsigned further pl ace e.,,.n. f operation until a Certificate of Compliance has bee iss y oard of health. 7 i_ —7 gned-d- .. .... ..... . ............ .. ............................... ..... ...7. ............ . ............. .. Application Approved By......-... ...............................0.......... ....................Da.t e........................................................ Date Application Disapproved'ore Ifollowing reasons:................................................................................................................ ......................................................................................................................w.................................................................................. Date PermitNo......................................................... IssuedL....................................................... Date ——-----—------------------------------ -------- - -- THE COMMONWEALTH OF MASSACHUSETTS BOARD,5F HEt.1 �ff� t;7'ra_ / ^'rr--'~-- is hereby^ ---- for - Permit- to Construct 0 - -Kc....................----------------------- .............. ....... ..... .... ............&7.............. Location-Add _s )//j ........................................... Inst*aller Address Dwelling—No. of Bedroo Expansion Attic Garbage Grinder Other--Type of Building ............................ No. of yc,avoo............................ Showers ( ) -- Cafeteria ( ) ..? ----------------*--------*------------**----------------------------------- --- ------- ----***------- Disposal Trench—No. ........ Width ...... Total Length......... Total leaching area sq. f t. > //Me_t�t�r....... Total leaching aZ._._.V ._-.,.-Sq. ft. Seepage Pit Vilm- Ifl Z Other Distribution box uvvu�g tank \ / ~~ Percolation Test Results Performed bv.......................................................................... Date....................... Test Pit No. l-----.miuutcyycrinch Depth of Test Pit.................... Depth tv ground water----__._.. 114 Test Pit No. 2................minutes per inch Depth of Test PiL-..----I-- Donth to ground water........................ � � »� ' �, ..................... The undersigned agrees to install the aforedescribed Individual Sewage System in accordance with the provisions ofZ[TA IE 5 of theS Code— lie u ersigned further agrees not to place/th sy t operation until a Certificate of Compliance has bee i,ssu y t oard of health. ___L�________.____ _ __________.______ Ig o"� ��ppucuuou u�o7mwxnp�7 reasons:-_--'_--'-_--__-_'-_---_---'_---_'_'�_----____ -----'-`---------`--------------'----`''-------------------'---`-------`---`------` »�° Permit Date THE COMMONWEALTH orMAssAoHussrrs BOARD HE .......'T-��r-.-... .....-' .......... --^---^-----w................................... THIS IS TO CERTIFY, Tka� I ' 'dual �,ejage D* d ( Ll�orRepaired has been installed in accordance with the provisions of T TLE 5 of The State Sanitary Code as described in the THE ISSUANrF TYIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL.I.-I CT I SATISFACTORY. posal THE COMMONWEALTH ormAss^c*u BOARD HEA�4 � ( � / No....................... FEE �5y....... Dhiposalarkv Tonmudlan Wrmft , atNo............A.- . .......A-11411 ... ....(/--- Street ......& ........................................ � ������'�' � Board of Health | DATE..����^���-�'�-.�-----.---_---_.-----'-' ronw 1255 *. m. suLx/m. /wC.. eosrow �~ vl'��I►.1GLL FAMILY - :6 BCOR40M _ /Z/• B� ' IJO 'GARBAGE: 6 1)E:1`2 l) D gal t_Y F i' SEPTIG TAQK = 33ox15o% = -A9i6.Po i !� It� o0 GA_. � 9 ot 5Po5A� PITQ5E 7 } I� 5 t DG•`�ALt_ AeCa = I�o S.F /�/� ����?3G � moo o • . �,� , e OTTOM pcZEA= .. �0 5•r '. cf� $.F X ( � � � O G•P �• � ' �� i. per- �-�oX MV /.k' ^ToTA17. �>r.SIGN = .q-25 G.P. D. � ! ,, •� ) .__ - I •'ToTAI.. �DA I L.Y Ft-ow - 33o G,Po, � /00.8 ;s � . ; ;'., �; ; PE2Co�ATtaN RATE � 1''IN 2MIN opt-IF=55 l � � .3 • �No. R ;`f yyc r,' DAVID \ c.. f p V41LLIAM G A* HU9C.IN �o N Y E II 1 ,p No. 19334 it 4 S�JttVC� — .►y �: �� i — QGB/ /� /, '� G - /a/• Top FNu= :+ INS• 1° D1ST. Gay . LP {� Z to�� IN�l. G -TANK `� }• I .D TOINV. INV. ' I O f��6f-•�'r v,1A St1 G D � .. ,. r c I ` its 4 — tC �Z O 1 C•E2TIFICD PL.oT PLAN I e /z'"8B• PRO _ � plo SCALE SCALG' I � EIZEN GE•� �• II � GEs2T�>rY -fNAT 'TNE P2UP. ►� � SNo�YN ,_ 91. !. NEtzEo+�l GO�+IPI..�{5 1�llTN'c HE S►o�.l_�N � L Urr-• � .,:.., �. AQP -SST R6Qu 2v--MENT5 of -tµE- i 7�W►� O F A���T l.t ,o,N ►.S ic, �I LOGperED WITNI II DATE__.__3 01 �1J BA-AT GZ hl`(E INC• 1✓Q6 D'I1au D 5 u F-Y E`(�e5 j �� Tuts PLQti l '� N� 4n5� �M AN OSTEQ.VILLE kWSS. �; IN5•�-R-uMENT �,vQVE`( � 'TNE O►=FSETS Su�tJt,� ` .. No-r DE u5EDTO CAE-CE(ZI^I►�E � oT INE-5 APP�-IC Al,►�T' TOWN OF BARNSTABLE LOCATION q4 KiMhSCAY l s%-1 SEWAGE # ao0 VILLAGE SS SO MAP &LOT d a7'GS d A5 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Soo Gal If-Io LEACHING FACILITY: (type) 'rfef- aeS (size) x w NO.OF BEDROOMS BUILDER OR OWNER CI►r:s�4 #Of PERMITDATE: 7�.23�a`f COMPLIANCE DATE:4q&)�-/ Separation.Distance Between the: Maximum Adjusted Groundwater Table and Bottom of.Leaching Facility s Feet Private Water Supply Well and,L.eaching Facility (If any wells exist on site or within 200 feet of leaching facility) 11/fA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of,lea hin facili IV o Feet Furnished by jr,�LNN �G�r>t(QtNG a ao.Lf r9 q B 7 SS. A 3� t DESIGN CALCULATIONS MICHELLE AVE. y CAPACITY REQUIRED - RESIDENTIAL USE: t' DESIGN FLOW: v N Z 3 BEDROOMS ® 110 Gal/Day/Bedroom = 330 Gal/Day D Z m � 0. CAPACITY PROVIDED: o,,w r -010 S56'09 56"E D ' SEPTIC TANK: , � .� o DESIGN FLOW = 330 Gal/Day mow-D,,w rrn n WPY o X 200% oti C6 �No 14.43 • K`MBERL� REQUIRED SIZE = 660 Gal/Day SIZE PROVIDED = 1,500 Gal/Day a►w LEACHING FACILITY: COW--1. 1 w p-,64419 ,R.I ,�� DESIGN PERCOLATION RATE: 52 MPI L:g6.8 DRIVEWAY LOCUS SOIL TEXTURAL CLASS: CLASS --- 6. 3 c� LONG TERM ACCEPTANCE RATE (LTAR): 0.74 GPD/SF 8 BOTTOM AREA: 2(4'X40') = 320SF SIDE AREA: 2(1 X40 X2)= 160 SF TOTAL AREA=480 SF I I LOCUS x LTAR 0.74 Gal/Day/SF f TOTAL CAPACITY = 355.2 Gal/Day OD 1"=1000' SYSTEM IS kM DESIGNED FOR A GARBAGE GRINDER LEGEND TP DEEP OBSERVATION HOLE GAs METER X99 7 N/F Q PERCOLATION TEST EXISTING 3 BEDROOM 1 STORY W/F HOUSE W DONALD & LISA A. SANFORD xse•e EXIST. SPOT GRADE TOF EL. = 101.43 Ln rn w MAP 27 PARCEL 52 98 EXIST. CONTOUR to 0 o` --®- PROPOSED CONTOUR ,o 0� . , , . . 2.9' _ ZE W P DECK �s' 40' --- 4 t00.5x PROPOSED SPOT GRADE o _ -- Ln 1 W Ste- ___ -''- EXISTING TREE 12' rn O 20. O oHw 3' N/F _ .� OVERHEAD WIRE ____ ----- 4' 13. ' WAYNE W. & JANET D. KEARSLEY EXISTING CESSPOOL -----� - w WATER LINE APPROXIMATE LOCATION VENT MAP 27 PARCEL 54 99 .. RESERVE AREA X99.2 X99.7 �1/2" HANDLE 4" SANITARY TEE X98.6 N/F CHRISTY ELLIOT ' 18" FILTER MAP 27 PARCEL 54 /--CARTRIDGE 4" SEWER 7t 20,035 S.F. PIPE SHED FILTER ti N 56.09'56"W /-GASKET ��`�N Q�, ! OF 121.85' ��a S;aADt.E v STEVrN \ _ FITZGEi LD m TIMOTHY ZABEL A1800 RESIDENTIAL SEPTIC TANK GAS BAFFLE U 9 CIVIL No. 0 ti o SENNETT EFFLUENT FILTER SPECIFICATIONS o F P� a No. ' H APPLICATION: SINGLE FAMILY HOMES. �a_ Gi Sty ' FLOW RATE: 800 GPD. +SS INSTALLATION: THE A1800 EFFLUENT FILTER CARTRIDGE WILL FIT ANY 4" SANITARY TEE AND / � /> 1���✓W . Il /� SEWAGE PIPE USE AS A SEPTIC TANK OUTLET © 1 N/F BAFFLE. EXTEND THE SEWAGE PIPE AT LEAST � ONE INCH BELOW THE BOTTOM OF THE FILTER CARTRIDGE GASKET. ELIZABETH A. GOURDIN QUESTIONS: CALL 1-800-221-5742 MAP 27 PARCEL 17 ZABEL FILTERS MODEL A1800 NOTE: NOT TO SCALE CONTRACTOR TO VERIFY EXISTING DATE DESCRIPTION INIT. SEPTIC TANK ELEVATIONS PRIOR TO REVISIONS FLOOD MAP: 250001 0015C BENCHMARK DESCRIPTION CONSTRUCTION . FLOOD ZONE: C AUG. 19, 1985 TOP OF FOUNDATION= 101.43 PLAN OF SEWAGE DISPOSAL_ SYSTEM (SCALE: 1"=20') TOP NOTES AND SPECIFICATIONS TEST PIT r°NFORMATION OF FOUND DEEP OBSERVATIONPLAN REFERENCE EPTH FROM 101.43 FINISHED GRADE 1. All risers are to be made watertight. SUWACE SOIL SOIL one(Sraw 101.0 EXISTING FEET INCHES SOIL TEXTURE COLOR SOIL Sim DINAM SUBDIVISION PLAN OF LAND FINISHED GRADE 2. All pipes to be Sched. 40 or equivalent. TOP EL-99. HORIZON SANDY(USDA) (MUNSELL MOTTLING CIgs W.%NAM) IN BARNS TABLE 100.0 EXISTING 3. All joints are to be made watertight. 1 " A LOAM 10 4/4 ARNE OJALA FINISHED GRADE PROVIDE VENT 4. All stone is to be double washed. SANDY OCTOBER 2, 1 973 99.2 MAX 5. All components are to have a minimum of 9" and a maximum of 36"of cover. 2 11-34" B LOAM 1oYR eiB PLAN 280 PAGE 25 24" 6. The contractor is to verify all elevations and utility locations prior to construction. Any differences 3 EL 96.-- shall be brought to the attention of the engineer. 4 - 'EST L= 12.4 FT. 3" MIN. 3" MIN. L= 8 FT. 7. The existing cesspool is to be drained, and filled with clean sand. PRESENT OWNER , FLOOR S= .01 FT/FT 5 3-s�cRavE�. 12" L= 20.3FT. D-Box S= .01 FT. FT. L-40 Fr. 8. There are no conflicts with Title V Section 15.220(4)(k) - location of public and private water C H R I STY E LLI OT / s=0.005 FT/FT THROUGHOUT E V I E W R D. ELEV. 6" .S= .Oi 2 FT/FT g �"' C COARSE 2.5Y 7/6 6 LA K 94.18 3" 2" supplies. 120" SAND NONE ENTIRE b eo qe oo Oe.eeO osoq_Oe o O q o0e o ° 9. There are no known sources of water supply, streams or drains within 100' of the premises. °-L" SANDWICH, MA 4" erfaated Pipe -f q o 0 0 q NX q " 6" qd ° LEACHING TRENCHEs42p q° o o q° °oq ° ' 10. There are no wetlands within 200' of the proposed system. 8 02635 q ° 0 q q (SEE SECTION)° q o q4'0" MIN. MIN °q°o ° o ° Qq0 oo° ° 11. Existing septic tank is to be pumped dry and inspected; The existing septic tank is to be reused. 9 LIQUID DEPTH ''' ' 12. A Zabel Filter is to be installed at the outlet end of the tank. CORROSION �' 13. Regrade over the soil absorptions stem where neccessa so as to maintain a depth 10 BOTT. EL n 89.5 ON-SITE SEWAGE DISPOSAL SYSTEM RESISTANT OB INLET INV. y ry p GAS BAFFLE-� g5,97 BOTTOM TRENCH of 3' or less over the soil absorption system. 11 UPGRADE PLAN 94 HOUSE INVERT .50 5' Min. 14. The distribution box shall be set level and true to grade on a level stable base which has 12 96.58 * INSTALL TEES IN ACCORDANCE WITH TITLE 5 oB ouTl_ET INV. ERF. PIPE INV been mechanically compacted. Title V, Section 15.221 (2). 95.80 95.70 LEACHING TRENCHES PERF. PIP INV. . MEASURED 44 K I M B E R LY WAY SOIL EXAMINATION PERFORMED BY THOMAS ROUX TANK INLET INV. CALCULATED (2% Min.) Finish Grade BENNETT ENGINEERING, INC. 12/30/03 96.46 CONTRACTOR TO INSTALL TANK OUT-INV. _ CORROSION RESISTANT GAS 96.21 GROUND WATER ELEV.NOT FOUND Compacted Earth FillC B A R N S T A B L E MASS . BAFFLE AND ZABEL FILTER. _ _ _ � ASSUMED AT 89.5 1 2" Min. (BOTTOM OF TEST HOLE) --� 2" ....I_- --- ....:...... MIN. OF 2" OF o..00...o 00 ( ) 0- •00 .0 00 4 (0.25 1/8" TO 1/2" ° ° WASHED STONE. o ° o ° 1' ERCOLATION TEST DATA BENNETT ENGINEERING ° LAND SURVEYING,ENGINEERING,&DEVELOPMENT SERVICES °oo °oo°og o00 °oo°og 0. DATE ELEV. RATE NOTES EXISTING 1500 GAL. PRECAST CONC. --- ..�.- 1 12 30 03 99.5 <2 MPI PRECAST CONC. SEPTIC TANK DISTRIBUTION BOX SOIL ABSORPTION SYSTEM 3/4" TO 1-1/2" 4' I 12' 4, Po�80X 2�97 TEL.(508)888-4868 TO REMAIN WASHED STONE. SAGAMORE BEACH,MA 02562 FAX.(508)833 7754 DRAWN BY: TCR DATE: DEC. 19, 2003 SYSTEM SECTION { ) WITNESSED BY: NONE JOBCHECK oi66SF SHEET No 10' OF 1 PROFILE 0EI L_E {not to scale) not to scale #