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Home My WebLink About0764 OLD POST ROAD (CT & MM) - Health 671 Old Post Road Aotuit -�-- - -- - - -- A= 054 — 031 TOWN OF BARNSTABLE LOCATION > O L� �l SEWAGE#-'tOS�f�/ VILLAGE i ASSESSOR'S MAP&PARCEL. " INSTALLERS NAME&PHONE.NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) /aZ od fl N0.OF BEDROOMS OWNER PERMIT DATE: _ COMPLIANCE DATE: ;d&�IKqx 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 J 110_6 43 l �a F7 3 9 l cam, Commonwealth of Massachusetts 05q,D/3�DOJ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address ; KAUFMAN, SUMNER&CAROL A P Owner Owner's Name z' information is required for every Cotuit MA 02635 8/20/19 page. City/Town State Zip Code Date of Inspection ,y r,et Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information filling out forms ( on the computer, use only the tab Robert Paolini key to move your Name of Inspector cursor-do not Robert Paolini use the return key. Company Name 67 Tanbark Rd. "BSI Company Address Marstons Mills MA 02648 T= City/Town State Zip Code (508)280-9499 S14454 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 CMR 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 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails /.r 8/20/19 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 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. t5in3p.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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: 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. * 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 C r Commonwealth of Massachusetts Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owners Name information is Cotuit MA 02635 8/20/19 required for every page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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. ❑ 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 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is Cotuit MA 02635 8/20/19 required for every page. Citylrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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%day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 01 ® 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 CM 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 f5insp.doc•rev.7126=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Flo Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8120/19 page. Citylrown State Zip Code Date of Inspection 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 CMR 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? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? , ® ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 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 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 8 Number of bedrooms(actual): 8 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 880 Description: Number of current residents: 2 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 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 8/20/19 Date 1 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No 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: 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 c Commonwealth of Massachusetts Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form- Not for Voluntary Assessments v 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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: 2001 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): ' 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction liner feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight. no evideence of leakage.System vented through house vents. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts ti Title 5 Official Inspection Form 1, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A . Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 2' 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: 3000 GI 2 compartment. 4 Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 52" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump every two years.Inlet and outlet tees in place.No signs of leakage. 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 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is Cotuit MA 02635 8/20/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date 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.7/2 612 01 8. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts � Title 5 Official Inspection Form FI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN,SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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): Depth of liquid level above outlet invert No 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.): Box is level.Box has eight outlet laterals with equal distribution.No signs of leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form FII Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN,SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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.): l * 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: ® leaching chambers number: 8 LC with 4' stone ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doe•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN,SUMMER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 page. Cityrrown 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.): Sandy soil.No signs of hydraulic failure. Leaching was dry at time of inspection. 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 Fie Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 671 Old Post Rd. Vl Property Address KAUFMAN,SUMNER&CAROL A Owner Owner's Name information is required for every Cotuit MA 02635 8/20/19 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.): j t5insp.doc-rev.7/2&2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth .Of Massachusetts: Titte 5 Official Inspection Form Subsurface Sewage.011sposal System Foam-Not for Voluntary Assessments 671 Old Post Rd. Propery'Address KAUFMAN,SLA e-41M 8c-CAROL A ' Owner Owner's Name. info(irw fo►every n is Cotu t MA 02635 8/20/1.91. required , Page. CWrown Slate zip;Cods. Date of Inspection D. System Information (cont,) 14. Sketch Of Sewage Disposal Systems Provide a:view of he sewage disposal system, including ties to at;least two permanent reference landmarks or benchmarks.,Locate all wells.within 1.00 feet. Locate wherepublic water supply enters the building. Check one of the:boxes below: D hand-sketch in the area below p: drawing attached separately 43W4: MAN I v Iw 10 N. 1 I , I � 1 1 la l m 1 Tntq`inoge i"iirisp.doc•rev:,726WS Title 5 omdal Impedlon Form:Subsurffice$ewapeD6PMl SOW•pop Is afle Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN, SUMNER&CAROL A Owner Owner's Name information is Cotuit MA 02635 required for every 8/20/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 8 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: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Used USGS observation well data.Used technical bulletin 92-0001 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins .doc•rev.7/262018 P Title 5 Official Inspection Form:Subsurface SewagePo System 9 Disposal S tem Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 671 Old Post Rd. Property Address KAUFMAN,SUMNER&CAROL A Owner Owners Name information is required for every Cotuit MA 02635 8/20/19 page. Cityrrown 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 t5insp.doc•rev.726201 a Title 5 Official Inspection Form:Subsurface SeWage Disposal System•Page 18 of 18 No. Fee ` computer: THE COMMONWEALTH OF MASSACHUSETTS Entered in com p PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Vigo aY *pgtem: Co=stem n Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Individual Components Location Address or Lot No. 6 /1 OG c/ 6U T / Owner's Name,Address,and Tel.No. h /I# S/T All44 lrl`� Assessor'sMap/Parcel Installer's Name,Address,and Tel.No. A rJY } �a`j AV/"-'Designer's Name,Address and Tel.No. Type of Building: ,� ?e Dwelling No.of Bedrooms Lot Size / % o -&q-f' Garbage Grinder (� Other. Type of Building No.of Persons Showers I; ) Cafeteria( ) Other Fixtures Design Flow(min.required) 13.2 gpd Design flow provided /�v 1.3 gpd Plan Date .;24d `7 Number of sheets Revision Date Title S' S % Gn f 7l C`- /'3 A) ' / Size of Septic Tank 3 0GD C Doge CRo,.�r,;,Type of S.A.S. �— S?7a C L L.Yrc4 CLjrrili�� Description of Soil R11/j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance.has been issued by this rd e lth. Signed Date Application Approved by Date —I t(-U Application Disapproved by: Date for the following reasons Permit No. -Lo U O — o q 5 Date Issued P 4nf . No. 5 Fee Entered in computer: - j V uter: V THE COMMONWEALTH OF MASSACHUSETTS p Yes PUBLIC HEALTH DIVISION - TOWN°OF BARNSTABLE, MASSACHUSETTS = pplication for �Dtgo at �§p!tem Con!Aruction Permit Application for'a Permit to Construct O Repair( P) Upgrade O Abandon O D.Complete System ❑Individual Components Location Address or Lot No. �j'7� 0G c/ Owner's Name,Address,and Tel.No.�, h r� 19TIV,,14 Assessor's Map/Parcel e/A, J y�8 t�`y'w:5t /JoJ'o, w v d 2 Ile t° Installer's Name,Address,and Tel.No. /✓d't>ak�t ' 'Designer's Name,Address and Tel.No. 5,�• 4 19 .✓7,g�d Type of Building: Dwelling No.of Bedrooms y Lot Size sq-ftr Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) /3.2 e gpd Design flow provided /Cy Z3 gpd Plan Date 7,7Gl1 `7 Number of sheets f \ Revision Date Title �7 S,/i ,0/GH e ie e 7 r/ l-J fp e.) 1ZI /- Size of Septic Tank'o 3 eeg 41 -DoW Z;w&-Arj, pe of S.A.S. `�" Poo er,�F L `-we Description of Soil i Nature of Repairs or Alterations(Answer when applicable) R+,fir s7`+�+ Date last inspected: f 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 o ,Health. Signed Date Application Approved by �` f �(/`_ Date i Application Disapproved by: . Date for the following reasons Permit No. i )'d v O — o 4f 5 Date Issued - -. ,, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance i THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( t<<pgraded ( ) Abandoned( )by 470114 A/1 41W.J��v11�/a✓ at 471 ®l c j has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 y 5 dated Installer Z?/ 7�y/�J�ri (�aJ �►'t 7�ioi Designer /.b/t/�✓ �,9e' f'Jv1ri,,....,aI #bedrooms g Approved design flow A�--(V' ,/ gpd G C The issuance of this permit shall ndt be construed-as a guarantee that the system will lion a/s�designed. A Date �/ �C/ Inspector------------------------- No. / {'r/. /!t I! �'.X� . rl.`l �I C)d Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Digoml 6p.5tem Con tructiott Permit Permission is hereby granted to Construct ( Repair ( Upgrade ( ) Abandon ( ) System located at tl, `7/ aZ cl G:f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction mustbe completed within three years of the date of this�p-ermit. Date `w-0 X Approved by �--->q ---'` A 1. FROM :dawn cape engineering the FAX NO. :15083629860 Feb. 28 2008 09:03AM P1 'own of Barnstable 00 Regulatory Services . . Thomas F. Geller,Director Public Health. Division i�� u,a+� Tiuomas McKean,Director 200 Main Street,HYAnnis. MA 01601 Office: 50B-862-4644 Fax: 508-790-6304 Installer d T1es'o0er'GertWcatiQv Form Date. Z _7 Sewage Pez�ca 7DD 'r kssessoes MapTarcel Des4ffber: C Ovy'k pe 1e)r_e_✓1-t fttstal)er: Address: 93 J .Address: ` o oIl issued a'De MI 10 install a (date) (insrall�r) old septic 11 �OJ ba_S at ed on a design&a.�Ta by �C►r+'1(L. 10-14 dated a r I cp;ifs that the se tit S�TStem referenced above w&r, installed .'lbstawiaDv according to the desiza, which mati' include MinOT approved a anises such as lateral relocation o the distribution box an&or septic tank. . I certify, that the septic system referenced above was installed vAjth major changes 0.e. L'eater than IT lateral relocation of-The SAS or any venical relocation of any cornpanent of the septic system)but in accordance A ith STate g Loeai Regulations. Plan revision or Gertiii.cd -built b� denier to fallo«'. i or,;A.ti.s� ARNE H s OJAt A (Installer's sipature) civu. No. 30792 14. F' \•;s''FS SS�0NAt (DesiQr,ers 5ienatur {. ffix Des 's St=p Hem) PLFAS1✓ RETURN TO BARNSTAB E PUBLIC IT AIJR DIVISION. C'ERTTFICATE OF COMPIr1ANCr VrrIfl L NOTI3E ISSL'.FD UNTIL BOTH TH]S EQ-1 AND AS-BUll.rf._CARD ARE RECEIVED BY THE BApIgSTABLE RUBLIC HEALTH DIVISCO.N, TIIANK YOU. n-"rAIih/Rrmit/DC5jZTle7 Cerufieaticm Form 3-26-04.doe ASSESSORS MAP NO: No ... PARCEL NO: - 0 OZI A ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ............................... Appliratiou for Dispmal Workii Tatuitrurtiou Vamit Application is hereby made for a Permit to Construct or Repair (L-,)- an Individual Sewage Disposal System at: ........... ......... .......... ......es................ ................. ...................................................... Location-Address or Lot No. ............... ...... VK vel C. .— ................ ..... ................ ...................................................... Owner Address ............ ......5 Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........ ...............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons......_..........._........_ Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow.........` >....................gallons per person per day. Total daily flow.........3..3:P.......................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width......:'......._ Diameter..._............ Depth....._......._.. Disposal Trench—No..................... Width..........__.___._.. Total Length......._.._......._. Total leaching area-------_----------sq. ft. Seepage Pit No......I------------ Diameter_....!_ ... Depth below inlet......4W_-....... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) PercolationTest Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit___.__._..........._ Depth to ground water.......______........--. 44 Test Pit No. 2................minutes per inch Depth of Test Pit_______.........._.. Depth to ground water--------------------- 04 -----------------------------------------------------------*.....*----------------------------------------.....*.......*------*-----------*--------------- 0 Description of Soil........................................................................................................................................................................ U .........................................................................................................................................................------------;--------------------------------- .......................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable..__ ----------- . ...... ...�7...... --------6,4�-_/---3�.........5 rp.V.--.e.........A,41-C....__..ell n.Irn.. .....er_tR 3-S-ig!fK6-1--f------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L 1"1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ...e 6-V' .......... ... Signed...... ...... ... .. .... ............ ................................ • Date ApplicationApproved By_ ... ... ... ....... . .. ...... ......... ..... ........................................ Date Application Disapproved for the following reaso *................................................................................................................ .........................................................................................................I.............................................................................................. Date Permit No.._9�.Fr .0................. Issued............. ------------- JP NoC��.........S�D 60......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G`N.w.....-----.OF.. .1A.1 .11�.� .... ApplirFation for Disposal Works Tnnstrurtiun V erani# Application is hereby made for a Permit to Construct ( ) or Repair (vYan Individual Sewage Disposal System at: - d - .b.ST......... ---------------- -----•--'•------- ...=t ...................................................... Location-Address ��_p or Lot No. ............'-S..�M i1 11 1.......1` 1A.�!�C..l!N'��:�^.J.............• ..............--,�.0�Y.=......---•----•--••--"------.........•......'--'..•...._..... --- Owner Address a ............ �11 l f ur t�------54 3 e....................... ................. ...................................................... Installer Address U Type of Building Size Lot............................Sq. feet g— ...............Expansion Attic ( ) Garbage Grinder ( )Dwelling No. of Bedrooms._.._...3________________ aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. w Design Flow..........S..7.....................gallons per person per day. Total daily flow........a.3.d.......................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......,1............. Diameter.-_.1a-".._.. Depth below inlet.._..L/ ....... Total leaching area..................sq. ft. Z Other,Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed b --••----------•-------•••------•.....--•-•--••-•---••...........•-•----•-• Date.------•----•......--••••-------------- Y I 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.................... Depth to ground water._-___-__-__-_---__--- ---•-------------------------------•---...-•----•--------------.....------------•--•'•-•--•-'-•''---......................................................... 0 Description of Soil........................................................................................................................................................................ x c, w VNature of Repairs or Alterations—Answer when applicable...._�-W4=tt-.t4- ...........-✓ CV?K_�.....p!-7.-.. u.1-13 s Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I: : p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Date Application Approved B f/• � �,� Date Application Disapproved for the following reaso :----.......................................................................................................... -••-•-•••••-•--••-•-•-•-••--•--••...•••••-•-•-----••--•-•......'--••-•--------•••.....-•-----•••...........••-•-••_...................•---••-••-•••----------••••--••-•••-•----------------------•----•--- g - Date Permit No...�-- ..-��-`-- ------------------- Issued.............................---•-....._ ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF........ ,r :Y .1! .t! :. ........................... kEertifirate of TOUtpltnnri THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired bY..................... . .........- 1=9-"_.%1----•• _---------------------------•.--v-..-----------------•-•------------------------.----------------•-- I tatter at ... -7 f D b-_... 6 s-= ��-��--------------- -- ----�------------------------------------------------------------ has been installed in accordance with the provisions of TITIR 5 0' e State Sanitary Code as described in the application for Disposal Works Construction Permit No.__g 7.0...... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .. DATE.............................�-�..---•�1-�•--��-----------.... Inspector.........................--- --�................--•---'----......---...--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � ..........OF...... .. C�.: . �' it NO. ...:v / FEE.....(...•............. Disposal Works Twaantrnduan ernti# Permission is hereby granted..............G ='1'G .J x k!.v.... 5=:.'en- ........................................ to Construct ( ) or Repair ( L),an Individual,Sewage Disposql System 2.at No---------------b--- .-f--------q1. �... Tw- •1..... ------------- •----------•-----------•--------• -•-•••-• ................... Sweet e as shown on the application for Disposal Works Construction Perptit No..(►. �L((Y� ted..... ��O ......._ Board of alth DATE............. j3------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L TOWN OF BARNSTABLE LOCATION (a 7I 6%0 FVfc-r IZQ SEWAGE # a) VII.LAGE ASSESSOR'S MAP & LOT_6S�-I-603 INSTALLER'S NAME & PHONE NO._ A 191 I- kAQ 9-eje%f SEPTIC TANK CAPACITY 2�Xr`z'T G �SSGQLVS�� LEACHING FACILITY:(type) ia-Sr (size)�� S, NO. OF BEDROOMS - PRIVATE WELL W��R BUILDER OR OWNER 60 0.S6 -et2 ► � C t �y► DATE PERMIT ISSUED w�•. � DATE COMPLIANCE ISSUED 40 - VARIANCE GRANTED: Yes No x 3 Cl v AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION (a'7r C,%a �' '�� `� _ SEWAGE # S VILLAGE C 67 v`•:T ASSESSOR'S MAP& LOT o!9�4-6031 INSTALLER'S NAME & PHONE NO. r�A 0, L-/Q tr ^ SEPTIC TANK CAPACITY e: X�,, •�� C z'4 OC�dL vSr(/7 LEACHING FACILITY:(t/ype) aC G.4 5T' (size) NO.OF BEDROOMS "7' PRIVATE WELL grPUB61C WA Rl BUILDER OR OWNER 6 V cM v.--t a— DATE PERMIT ISSUED: DATE COEIPLIANCE ISSUEDL 0 VARIANCE GRANTED: Yes No --� C a k y http://issgl2/intranet/propdata/prebuilt.aspx?mappar=054013001&seq=1 6/6/2019 SYSTEM PROFILE LEGEND ACCESS COVERS TO WITHIN OF FIN. GRADE (NOT TO NOTES b ACCESS COVER (WATERTIGHT) TO (2) CONCRETE.-COVERS TO ..WITHIN 3- GRADE . 1. DATUM, IS- NGVD ASSUMED FROM, GIS SPOT ELEVATIONS 100.0 PROPOSED SPOT ELEVATION TOP GARAGE SLAB AT EL. 18.5' 18.0 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6 OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM '.. 2. MUNICIPAL WATER IS EXISTING 18.5' o Baxtef.Neck Rd 100x0 EXISTING SPOT ELEVATION RUN PIPE LEVEL 2' PEASfONE OR 3. MINIMUM PIPE PITCH TO BE .1/8„ PER FOOT. FOR_ IRST 2'. 10 PROPOSED CONTOUR - FlLTER FABRIC " ' ' '�''' M �T� q�,� BLOCKS OR - ,o. (4 tg, OVER STONE CM�i1PONENT'S PRECAST RISERS 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-10 21.D. 100 EXISTING CONTOUR *EXISTING 16.27 moo 19� r' c'•) 15.8'. H- 20 ON TANK, H-10 FOR SAS. ''0°° 15.48' 71 COIIPAR111EIR tC lEE 19'lEE s +•: :' :.'. -P� C.O. PROPOSED CLEAN OUT MIN. (� SLOPE) w/ cws awe '0N w/ cis a 15.65 . ' °°o°"o°°0°°0 5. PIPE JOINTS TO BE MADE WATERTIGHT. ' s INV'S EL: 15.0 Goo_:_000 8 QQ 00000000 .. OOOO OOQo ° 6 CRUSHED STONE OR MECHANICAL 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH ' �'�"� �°�'�' MASS. ENVIRONMENTAL CODE TITLE V.COMPACTION. (15.221 [21) o°o°o°o° o°0 0 0 13.0- H-20 3000 GAL ST- ACME 7X17 OR APPROVED EQUAL 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO DEPTH OF FLOW = 5.3' H-10 500. GAL... LEACHING .CHAMBER .BY ACME.PRECAST_. OR .EQUAL._ BE USED FOR LOT LINE STAKING-OR ANY OTHER PURPOSE. (S) UNITS REQUIRED =" TEE SIZES: Cotuft INLET DEPTH ,_ ..1 O . 3/4'-1-1/2" .DOUBLE ..WAST ED. STONE 8. PIPE, FOR SEPTIC SYSTEM,-TO SCH.. 40-4",PVC. „ C ALL AROUND PRECAST L!CT ' g/� *THE INSTALLER SHALL VERIFY THE OUTLET DEPTH = 19 AS SHOWN PER DESIGN AICULATILATIONS 5 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED ~� LOCATIONS _OF ALL.. UTILITIES_AND ALL _ WITHOUT INSPECTION BY BOARD:.OF HEALTH AND PERMISSION - - BUILDING SEWER OUTLETS AND ELEVATIONS OBTAINED FROM BOARD OF HEALTH. PRIOR TO INSTALLING ANY PORTION OF ( 1 x SLOPE) ( 1 x SLOPE) LOCUS MAP SEPTIC SYSTEM 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING FOUNDATION 59' SEPTIC TANK 37' D' BOX 48' LEACHING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION SCALE: 1„ = 2,000't FACILITY BOTTOM TH-1 EL. 8.0' OF ALL UNDERGROUND- & OVERHEAD UTILITIES PRIOR TO - COMMENCEMENT OF WORK. ASSESSORS MAP 54 PARCEL 13-001 11: EXISTING LEACHING -FACILITY- S14ALL BE"PUMPED- AND` LOCUS ;IS WITHIN" AP OVERLAY DISTRICT REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. �+ l \N O : . POST- OAD , 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE TEST LOGS OGS 4 p f i 206 7f' INSPECTM PORT REMOVED 5' BENEATH AND AROUND THE PROPOSED \ LEACHING FACILITY. " ENGINEER: DAVID FLAHERTY; R.S., SE2755 / 4 I i R `�r 13. DETAIL/TOPOGRAPHY IN SEPTIC AREA BY INSTRUMENT. WITNESS: DONNA MIORANDI, R.S. 1 �/ I �� = _ SURVEY, OTHER AREAS FROM GIS AND ARE APPROXIMATE. DATE: OCTOBER 31, 2007 \ '"' ' �� 2�1 14. INSPECTION PORTS TO BE CONSTRUCTED OF 4" PERC. RATE _ < -2 MIN/INCH- 2� 22� I PERFORATED SCH. 40 PVC PIPE AND PLACED VERTICALLY DOWN INTO THE STONE. TO THE NATURALLY OCCURRING SOIL CLASS I SOILS_ P 1988 I I • 20Y l \ I I •'� '�TH-1 '� x":�;. "` " i ELEV. 2 ELEV. '. p„ 4 20.0' 0" 19.0, \ LOT AREA SYSTEM DESIGN: - - A \ \ 1.48 ACRES I TH-2 x 12 FILL - LS \ / o GARBAGE DISPOSER IS ALLOWED 10YR 3 2 I ��' t'-• �� X DESIGN FLOW: 8 BEDROOMS ® 110 GPD = 880 GPD S 16 1»t USE A 880 GPD DESIGN FLOW (LEACHING: 880 X 1.5 = 1320 GPD) 10YR 3/2 - PAVED ~. 15" LS DRIVE \ `";:�� SEPTIC TANK: 880 GPD (2) = 1760 „ 10YR 5/6 \ j. B 35 16.1' 6 USE A 3000 GAL. DUAL COMPARTMENT SEPTIC TANK (PRIMARY COMPARTMENT: 2000 GAL; SECONDARY COMPARTMENT: 1000 GAL) . LS 41 10YR 5/6 C y LA -ACHING: J 4: t i w z? INSPECTIG i r S,!= :2 1103 I 12.83) 2 (.74) = 342 GPC - -- - - - • _4 CP FMS . I _ I BOTTOM 103 x 12.83 '(.74) = 1321 GPD pm 3 4\ RET. •g' \` `";'� �` 2247 S.F. 16 wAl "''• � TOTAL: 63 -GPD. 18 C.O. O ` USE (8 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) FMS 2.5Y 7/3 IN V®SLAB I WITH 2� STONE`AT ENDS,_4' AT SIDES AND 4''BETWEEN CHAMBERS' ,. I oAIRCG .) �"� � � 2.5Y 7/3 % X - 144 8.0' 132„ , 8:0' BENCHMARK: GARAGE Q . PAVED OOF-r MA NO GROUNDWATER ENCOUNTERED SLAB DRIVE T To APPROVED DATE BOARD OF HEALTH ELEV-18.48' I T EASTING 8 OR I BBA x DWELLING -�I HO i CONC. �' ✓23 w TITLE_ 5 SITS PLAN - OF 0 0 671 OLD POST - RD. Zo 4 (COTUIT) BARNSTABLE MA j8 PREPARED FOR BORTOLOTTI , CONSTRUCTION/ �h TO WATER SUMNER KAUFMAN TOP OF COASTAL BA K 246.20• BY INSTRUMENT 13 DATE: . NOVEMBER. 7,. 2007 . SURF REV. DATE: FEBRUARY 5, 2008 . (TANK RELOCATED) •w,, APPR. - . .. BOAT Scale:-1''= 20' HOUSE OM GIS 0 10 20 30 40 50 FEET. off 508-362-4541 91 fax 508 362-9880 pO+ �N OF Mqs � �N OF Mgss�c APPR �� DANIELA. c�G�� o� DAANIEL y%p COTUIT x E°�E of IV;L N OJALA N down Cape en gin e erin g, ir') C. WA TER PER GI �a �No.465020 � �oF�S09o0P HARBOR s MAp 3Crs ,� �q0 �R%10 Cl VIL ENGINEERS (MAO TONAL \ LAND SUR 1/E FORS , DATE DANIEL A. OJALA, P.E., P:L.S. 939 Main Street - YARMOU THPOR T, MASS. DCE #0?' V 9 07-269 BORTOLOTTI_KAUFMAN.DWG (DDF)