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HomeMy WebLinkAbout0035 PINE RIDGE ROAD - Health 35 Pine Ridge Road Cotuit -- A= -- I f .. TOWN OF BARNSTABLE LOCATION Z\�4P (Z Z SEWAGE# VILLAGE Cn ,+ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. �pol`e C��� ✓�O SEPTIC TANK CAPACITY CRC (9C 1� t LEACHING FACILITY. (type) C Ih S (size) l3 X y�X NO.OF BEDROOMS OWNER 'eVY PERMIT DATE:: L 17- 13 COMPLIANCE DATE: ` 3 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 260 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ``l' O� - d - � sl- 33 " No. �y �.1� + -., Fee �41 o THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OFtARNSTABLE, MASSACHUSETTS Yes Zippfication for Misposar Opstern Construction Permit Application fora�ermitto Construct(1v<Repair( ) U ade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 5 ,"e Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C4 fa ( j v>Vn f /{ o4 a Le S em C z Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Ve-YZ —33 VY S111-47 GnS Type of Build' g: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 5" 7 3 gpd Plan Date Number of sheets , Revision Date Title 7(t 04,05 Size of Septic Tank 15'00 Gq#on Type of S.A.S. 12.0 3 q3,25 Z.ea. �e s'S Description of Soil o o. -er .V/"r Sd 10Y9 to—1 n L 14, JqJ wx t;/o Iv-lia" a 14 r1,50 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and mainten ore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environment a and not to place the system in operation until a Certificate of Compliance has been issued by this Board I Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 69()le3 Date Issued ------------------------------ .� �"`�a.+./c'�.rie�v'�•s,.s-.'.. .a..,,.y,r.a,;.y=...+�-c•-... ...ww,+�'r�w.d�^v.'�^.�i,,. ytY(xK.yro,*Y. v-....+.`ay,,.�.w........,—.-.-- ..;,,,ir....•+.,�*..-.'s`.e:-.. -•.... No. (/ --' ` 4 i Fee ©'Q� r,j Entered in computer: THE COMMONWEALTH OF MASSACHUSET? Yes PUBLIC HEALTH DIVISIOf� -TOW O� BARNSJTABLE, MASSACHUSETTS '��.���j`'�� �.��fication�for �is�osaYt�pster[t �onstruct�on,�errnit . Application for a Permit to Construct(� Repair( ) Upg,ade( ).''Abandon( ) El complete System, ❑Individual Components . Location Address or Lot No. 3 9' P'n e R.' S eJh u,.11ai 4' Owner's Name,Address,and Tel.No. s' o(f-e 2d Assessor's Map/Parcel ni olla q SvS F.r, f /Vo4q/,-F SgeA r e Installer''s Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �Ili:h n?fC) LnC. / f.7iJLC Type of Buildinng:' V a Dwelling No.of Bedrooms Lot Size �/Sar/U '� sq.ft. Garbage'Grinder(IWO Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures , Design Flow(min.required) gpd Design flow provided 57 3 gpd -- " Plan Date Number of sheets ( Revision Date Tt3nval y' //, f° Title ✓,w - Size of Septic Tank 15-00 Ga((on , Type of S.A.S. /2,8 3 ,2 5 Lea a C .,J e r5 } Description of Soil n-10 f' / F 1 Ip�-4 r X/H sa j l o Y12 c ri/ —a. 'r B t'r_c lei ald Z�13 f��` l2tJ�' C ta�rz 1' /'1,5Ah i U�(Je ��� y Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maiinte/nanc`e.of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the EnvironmentaLC-6c ede and not to place the system in operation until a Certificate of Compliance has been issued by this Board I eIf ; 1 Signed i Date Application Approvedby Date / —/ 7 — /3 Application Disapproved by Date , for the following reasons -' Permit No. o G —o d- Date Issued ---------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS .r= Certificate`of Compliance THIS IS TO CERTIFY,that tthhe}AO'n\-s'te Sewaoge /Disposal system Constructed(� Repaired( ) Upgraded( ) lAbandoned( )by I!l/1 U Y l,I / Mek, at _16 pm e ,'C. � pQd _J7 ZL l r -has been constructed in accordance with the provisions of Title 5 and the/for Disposal System ConstructionTetmit No.ao 13- 693 dated _ / ^/ Installer Designer .5VIIi'Va4 EA c 1'h iez" fi`h C �rIC 3 #bedrooms S Approved design flow ---- S� gpd The issuance of this/perrmit'shall not be construed as a guarantee that the system WG,3 nction as designed. r Date rl �J/1' : f— J 1 U �' S Inspectori L_ <-No. r�o 13 4)--3 - Fee, l �� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( �}� Repair( ) Upgrade( ) Abandon( ) System located at S �i'h '� P ,�/.C f u,' t/ /-1 A and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit... i Date S Approved by Town of Barnstable Regulatory Services e ; Thomas F. Ceder;Director. h Publie Health:Division: : Thomas McKean;Director, 200 Main Street,:Hyannis,MA 626o1 Office:-508-862-4644 ,: Fax- 508-790-6304 a_ Installer&Designer Certification Form _ 17-1NMIAssessor` Ma Tarcel VD 3 Se9va" P Designer_5_�«�v+ u sae mac. 6 til c Installer s NIL! Address. t?�ik2�e� �o'a0 Address �i On J a !7,zo 6 was issued a permit to install a (date) n (i taller) c st em at 3:5 :T,roE c96�6e r r based on a design drawn,by se - P sY (ad ess) - ' w t ruI G. A► ZO date 3 . - (d'esigneF I certify that the.septic system referenced:above was installed substantially according to;the design;wch may include minor approved changes such as lateral.relocation of the distribution box and/or septic tank :that thes e c-system-referenced above:was installed-with niaJor changes .. I certify P� (r:e:greater than 10' lateral relocation of the SAS or auy vertical relocation of any component:of eptic system)but in accordance with State&Local ns. Plan revision or certified as-built b e4 tQ llow: (Installer's Signature) t= 883I�A _ - esigner's Signature) {Affix:Designer's Stamp Here] -- PLE ItETIIPF-T9 BFNSAI3LE g C- MAY,'T�LDNISIO CERTIFICATE OF CONTLIANCE WILL NOT BE;ISSUED UNTIL BOTH THIS FORM AND AS-BUILTCARD AIZE RECEIVED BY TH BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOII Q.Hea1th/Septic/Designer.Certification Form 3-26-04.doc TOWN OF BARNSTABLE rl ��,._ R,dGe _ SEWAGE a�r3 - C3 LOCATION { VILLAGE C ,i �", ASSESSOR'S MAP&PARCEL INSTALLER'S rNAME&PHONE NO. SEPTIC TAW. APACITY l7 C > 6rlk I LEACHING FACILITY:(type), .�C , (size) 13' X </? X — NO.OF OF-BEDROOMS OMS S'A OWNER. 5 t . PERMIT D. " .. I 1 ATE I ).' ; COMPLIANCE DATE. j Separarion Dist"I Between the . lvlaximum'Ado— Gr Ioundwater Table to the Bottom of Leaching Facility :1 t Feet Private Water Supp y Well and Leaching Facility(If any wells exist on ! i site or with' 200 feet of leaching facility) ( 4 { Feet Edge of Wetland d Leaching Facility(If any wetlands exist withm 300 feet of le chi facility) Feet 1 FURNISHED,BY I e k I - 3 1 Y Fe I . i i J I j - { s { l i -'� „'.. ' � �/-/� III i� IJ � i , ��- / ,I` .� •, + I I f 1. 1 ,r 1 g I' 1 00 P " 3 3• 3� + UP BEDROOM LIVING DN ----------------------------- ----------- 1 • HALL « I I I 1 1 I . I I LINEN KITCHEN BEDROOM roro BATH I _ I • 1 I I I I 5HOl^ER I I I I — I I I I • -------------------- -- --------------------- _ I I 1 1 c I I • I I I I I I I DECK I 1 I I � I I 5UN—ROOM I I • I I _ , I • I I F I R S T F L O OR F L A N -------------------- --------------------- I I I I 5GALE : 5/ I6 " = 1 '-0 " I I - I I I I I I 1 1 I 1 1 1 1 I , I I I I I - I I I I I UP EDGE OF LOFT. (ABOVE) - --'-----=-=--------- 5TORAGE N > BOAT STORAGE --------------=--� ' 12- 2IT2� ly o M: n M. T z T4 n J r r r m � v 7 ] o J f ' J 1 � LL r, r U - d E , BEDROOM � EEOROOM BATH flpin� 4 v oZ nw oQ ° Q <W D- I UJ p O oZFe Lu i o PROPOSED SECOND FLOOR PLAN A-3 pp tHE T� Town of Barnstable Barnstable P •�, Regulatory Services Department MkAm m'caC j + BARNS"CABLE, • - MASS. 39 i639• Public Health Division m �� ArFa MAs A, 200 Main Street,Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.GeilerLeach pit is only3f mndwagter,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3525 5354 June 14, 200 Ms. Trude L. Kleinschmidt 7 Chapman Street Watertown, MA 02472-1779 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at M Pine Ridge Road, Cotuit, MA. was last inspected on 5/21/2011 by Warren Reid a certified septic inspector for the State of Massachusetts., The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • A single cesspool is an automatic failure. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future, enforcement action i PER ORDER OF THE BOARD OF HEALTH Thomas McKean R.S., CHO Agent of the Board of Health Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information required for rir re te q WATRETOWN MA 024572 MAY 21,2011 every page. Cityfrown Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important A. General Information Whenforrns filling out forms f on the computer,use 1: Inspector: only the'tab key to move your WARREN F REID cursor-do not Name of Inspector use the return key. ALL ABOUT THE HOUSE INC. Company Name P. O. BOX 802 Company Address E. FALMOUTH MA 02536 Cityrrown State Zip Code 508-648-7070 S12087 Telephone Number License Number This is a single cesspool, an automatic failure in this county..... B. Certification I certify that I have personally inspected the sewage disposal system at this address and,that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system': ❑ Passes ❑ Conditionally Passes X Fails XX)CX)OUCX 0 ❑ Needs Further Evaluation by the Local Approving Authority w � o co May 26, 2011 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approvin. Author (Boi of Health or DEP)within 30 days of completing this inspection. If the system is a shared s�m am has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. *"*"This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use, t5ins•11/10 Title 5 Ot6dal hcspection Form:Subsurface Sewage Disposal System•Page 1 of 17 I \ Commonwealth of,Massachusetts ID Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,••'y 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name infoe urir mation te q ed for WATRETOWN MA 024572 MAY 21,2011 every page. City/Town Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ 1 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: N/A i B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "non 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 exMtration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): N/A t5ins-1 V10 Title 5 t)6ii W kWeWon Form:Subsurface Selvage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments b. 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21., 2011 every page. City/rown Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level 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): N/A ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y X N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y X N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the.Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water X Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11f10 Tdle 5 Official 6upeclion Form:Subsurface Sewage Disposal System•Page 3 of 17 1 1 Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is WATRETOWN MA 024572 MAY 21 required for ,2011 every page. Cityrrown Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: N/A "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. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No YES SINGLE CESSPOOL FAILS ® X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ X 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 ❑ X than day flow t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 I ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,•`"` 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owners Name information is required for WATRETOWN MA 024572 MAY 21,2011 every page. Cityrrown Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped:_N/A ❑ X Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ X Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ X 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.] ❑ X The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ X The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D,. Yes No t ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above,the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official trispedon Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,. 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner owner's Name information is WATRETOWN MA 024572 MAY 21 required for , 2011 every page. Citygown Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ X Pumping information was provided by the owner, occupant, or Board of Health ❑ X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? ❑ X Have large volumes of water been introduced to the system recently or as part of this inspection? X ❑ Were as built plans of the system obtained and examined?(if they were not available note as NIA) X ❑ Was the facility or dwelling inspected for signs of sewage back up? X ❑ Was the site inspected for signs of break out? X ❑ Were all system'components, excluding the SAS, located on site? X ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? X ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: X Existing information. For example, a plan at the Board of Health. X ❑ Determined in the field (if any of the failure.criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): UNKNOWN t5ins•11110 Title 5 Official hispeclion Form:Subsurface Sewage Disposal System-Page 6 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 35 PINE RIDGE ROAD)COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner/ information is Owner's Name required for WATRETOWN MA 024572 MAY 21,2011 every page. Citylrown Zip Code Date of Inspection D. System Information Description: Number of current residents: Does residence have a garbage grinder? ❑ Yes X No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes X No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage NORMAL 9 ( Y 9 (gpd))= FLOWS Detail: Sump pump? ❑ Yes X No UNKNOWN TO Last date of occupancy: ME Commerciallindustrial Flow Conditions: Type of Establishment: N/A N/A Design flow(based on'310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes X No Industrial waste holding tank present? ❑ Yes X No Non-sanitary waste discharged to the Title 5 system? ❑ Yes X No Water meter readings, if available: N/A t5ins-11/10 Title 5 Official kupeGion Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official. Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments •'�< 35 PINE RIDGE ROAD COTUIT MA ' Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is WATRETOWN MA 024572 MAY 21 2011 required for every page. Cityrrown Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NONE AVAILABLE Was system pumped as part of the inspection? ❑ Yes X No If yes,volume pumped: NIA gallons How was quantity pumped determined? N/A Reason for pumping: N/A_ Type of System: 1 ❑ Septic tank, distribution box, soil absorption system X Single cesspool ❑ Overflow cesspool ❑ Privy ti ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative 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): N/A t5ins-11/10 Title 5 OfHdal hmpection Form:Subsurface Sewage Disposal System-Page 8 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is WATRETOWN MA 024572 MAY 21 2011 required for every page. Cityfrown Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and"source of information: ORGINAL TO CONSTRUCTION Were sewage odors detected when arriving at the site? ❑ Yes X No Building Sewer(locate on site plan): Depth below grade: N/A feet i Material of construction: ❑ cast iron ❑40 PVC N/A e❑other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): N/A Septic Tank(locate on site plan): Depth below grade: N/A feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) N/A If tank is metal, list age: years N/A Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: N/A Sludge depth: N/A t5ins•11110 Title 5 Official hispeclion Forth:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21 2011 every page. Citylrown Zip Code Date"of Inspedion D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle N/A Scum thickness N/A Distance from top�of scum to top of outlet tee or baffle NIA Distance from bottom of scum to bottom of outlet tee or baffle N/A How were dimensions determined? N/A Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: NIA feet Material of construction: [I concrete 0 metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A 'P Distance from bottom of scum to bottom of outlet tee or baffle NIA Date of last pumping: Date t t5ins-11/10 Title 5 Official lnspecfion Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments so``Y 35 PINE RIDGE ROAD GOTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name inforation e uired forts Q WATRETOWN MA 024572 MAY 21, 2011 every page. City/Town Zip Code Date of Inspection D. System Information (cont.) 1 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): NONE Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): N/A Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order. ❑ Yes ❑ No Date of last pumping: N/A Date Comments(condition of alarm and float switches, etc.): N/A *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11110 Title 5 official tnspec8on Fonn:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21, 2011 every page. Cityrrown Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert N/A 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.): N/A 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.): N/A Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: N/A t5ins-11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form'-Not for Voluntary Assessments `< 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT,TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21 2011 every page. City/Town Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: N/A ❑ leaching chambers number: N/A ❑ leaching galleries number: N/A ❑ leaching trenches' number, length: N/A ❑ leaching fields number, dimensions: N/A ❑ overflow cesspool number: N/A ❑ innovative/alternative system Type/name of technology: N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): N/A Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration ONE Depth—top of liquid to inlet invert N/A Depth of solids layer 8 INCHES Depth of scum layer N/A MDimensions of cesspool' 6 FT BY 5 FT Materials of construction BARREL BLOCK Indication of groundwater inflow ❑ Yes NONE No t5ins-11110 Title 5 official trispection Form:Subsurface Sewage Disposal System•Page 13 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form-Not for Voluntary Assessments 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21 2011 every page. Cityrrown Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): THIS TANK IS EMPTY AT THIS TIME THE PROPERTY HAS NOT BEEN OCCUPIED FOR THE SEASON. THERE WERE NO INDICATIONS OF FAILURE Privy(locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 14 of 17 Commonwealth lth of Nhissachuseft Title 5 Official Subsurface Sewage Disposal System F s Not for Voluntary Assessments 35 PINE RIDGE ROAD C©TUIT MA --- Pwpedy Address KLEINSCHIi IDT,TRUDE L_ 7 CHAPMAN STRTEET Owner Owner's Name ,p information is ��R1=TC 1 024572 MAY 21,2011 required for , Dte of Inspedion every page- Qtyfsow n D. System Information (cunt.) 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 bebw. x hand-sketch in the area below — ❑ drawing attached separately �a tU 0 (A)Of - I z � Litt �3 l f` 6 (P 'A 1 T&O 3 OMMWkSPOOMFom St ce Sw, 9e owposer System•page 15 of 17 ieim•11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT, TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name ` information is required for WATRETOWN MA 024572 MAY 21, 2011 every page. Cityrrown Zip Code Date of inspection D. System Information(cone.) Site Exam: X Check Slope X Surface water X Check cellar ❑ Shallow wells Estimated depth to high ground water. 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: THIS SYTEM IS ON A BANK AT A 18 FOOT ELEVATION TO A BODY OF SURFACE WATER LOCATED 93 FEET FROM THE EDGE OF TANK Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-11110 Title 5 ORiaaJ hvvedion Form:Subsurface Sewage Uisposaf System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .•'` 35 PINE RIDGE ROAD COTUIT MA Property Address KLEINSCHMIDT,TRUDE L. 7 CHAPMAN STRTEET Owner Owner's Name information is required for WATRETOWN MA 024572 MAY 21 2011 every page. Citylrown Zip Code Date of Inspection E. Report Completeness Checklist X Inspection Summary:A, B, C, D, or E checked X Inspection Summary D(System Failure Criteria Applicable to All Systems)completed X System Information—Estimated depth to high groundwater X Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I t5ins•11/10 We 5 Official Irmpection Form Subsurface Sewage Disposal System•Page 17 of 17 ([ rno z to h h h OD OD O h h )A; I%a nAHOG.O`-GKING ti r zXlo LEDGER O y V ATTACH NDL F FROM STA%D 5 I TO RIM BOARDS W/ P.T.aXa POSTS W/ CARPoAfiE&OLTS GAL j P.T.].%105 16'O.G. ATTACH NI LEDGER 10 AS i�WIR V. TAND-OFFS ED. EXISTISTING NOFiE USING F/I STAN D-OFF'S OR PVCSTA GALVA%I SAD YJISi ND-0FP5 AND HAN5ER5 AT ALL LA6 BOLS A5 REWIRED f CONNECTIONS TO f"'I t H•GONG.SONAIVHE IEDG-cR5 t RIM (n ON FOOTING ING 5 T•GONG. BOARDS M'ILAL rT1 SYSTEM W E PACE 50NATRES A ' I /AT 5'-i'OL) Q i6 0 CIS SECTION / DETA IL U SCALE: I/2" - I -O• r,) l W a m w a u T BEDROOM UP LIVING BEDROOM LIVING (t HALL HALL so66y � ,�z,�u .yo � t ALIGN ivALL5 doe fig "s o"„Xu- •".•y BEDROOM KITCHEN x a-s(rz•H 2- KITCHEN a _ 5 Gar a BEDROOM BEDROOM Q REMOVES INDICA s BATH _. ;-�< O y ��a>�oe��9ti2t WALLS Ai INDILATTv. �-REMOVE E`(ISrINS :.° AT FLOOR,EIi x oYff BATH BEDRROn AND BA1H :: 5;:::�;' �. AND WALLS. W W AS INDICATED.REMOVE , ALL ELEGTRIGAL AND __ ______________ F c PLUM&!G - �F L II I N W oQa Z -------------------------------------- + I � _ o : , mw CS `R@10VE AFL E%ISTIW I �. ; i ____________________ __ _____________________ wREMOVE EXISTING E � Q/ v I KITH SAME _ W FAUX PANELIIY AND f - E% NDOWS AND REPEAL IL / W REPLACE PITH'/2' STYLE AND DIMENSIONS 1{VL lu .n GYP.BOARD REPAIR RE U RED V, O t�AI= AT EDGE OF NEW WINDOw6. — Q a AE i c ' i i ~ fU I Q W Q � II + - : : � v � Q SUNROOM cF I i a NRdOM CENTERLINE of 0 Z 7- LLJ {c Zi Ivb EasnrT6 rvlDows— Z tJl REMOVE E.'GSTI - fMA1L EME; NE OFANEW KNDDWS W/ Y f,'G WINDOWS G j,EMI JI 0 1 E%15TINSJ LU Q Q KEY ........ AND LEAVE'ROIYaN OPFNIN65. 1 I I - ------- All ------ �J/ m .FOR ll57.111'ATidN OE?Ekl: ___ -.... I ..._ _ _______ Z-_-_- _ NDDWS AQV DOORS. E%ISTIIiG WALLS TO BE REMOVED ij q REMOVE EmstING WALL PA���pARDj _ _.l WITH I!�'•oYP.,BOAQD. Job no.: 12LW i E%1511NG WALLS -,---- , TOREMAIN ......_............................._......q..................._.....__ det! BAN.3,2013 IXa MAH06.DELKIN5 ON P.T.FRANE W/ Cale AS NOTED CONTINUOUS 12'jrEP AROUND. B'-0"•/_ d'-0'_/_ drawn OPERATOR I 4 REMOVE E%ISTN6 WINDOWS AND REPLACE WITH SANE WINDOW I STYLE AND DIMENSIONS. KEY REPAIR 1 AS REWIRED F- AT EDGE OF NEW WINmOWS. `„S NEW WALLS FIRST FLOOR DEMOLITION PLAN r PROPOSED FIRST FLOOR PLAN EXISTWAIN TO REMAIN p SCALE: I/H' = 1 -0-- 1 SCALE; I/d' = 1'-O' nI �Q 013 �1 �5 I I I I I /u�t I I I I I o CDR. STORAG RM. I I I I I F I R 5 T FL . . FLAN l l l S C, A L E 1 / 4 = 1 - O " UP a P-we , 117I STORAGE a - E30AT STORA&E IF - - - - - - - - - - - - - - - - - I 1 I I I 1 I I ON S E C ® N E�) FLOOR F L A N I I S G A L E : I / 4 = 1 — O------------------------------------- I I I I I f I I , I I SKYL I6HT I SKYL I GHT I I ' I � I I I ' I I I I ' ' I I I I I I i I I I I I I I I � I I I ' 1 I I I 1 LOFT I I I ROOF I I I BELON I I ' I I 1 , ' SKYLIGHTi 15KYLI6HT ------------------------------------ � I I I 1 I I I ' I I ' I I ' I I ' I , I I I ' I , I 1 I I I I I I I I I , I 1 I I � I I I I I I , ' I I , s F.F.Main House r, El. 35.26 & ZONE: See Note 6 (typ.) 15' RF F.G. EL. 33.0't F.G. EL. 31.0't F.G. EL. 31.00't Min. Area (min.) 87,120 SF (RPOD) Frontage (min) 20' 3s: Both Main House 3.75' Complies Width (min) 125' & Barn Flow Equilizers - 5 1' With DESIGN DATA Setbacks: Re plumb to As Required Breakout Single Family Front 30' EL. 29.83 5 Bedroom @ 110 GPD Side 15' Installer To EL. 1500 Gallon a No Garbage Grinder Rear 15' Confirm Prior Septic TankgtE=L28.58 Top EL 28.00 Total Daily Flow=550GPD ti To Any Work H-20 Required .00 H-20 1500 Gal Septic Tank (See Note 5) D-Box EL. 27.84 27.00 Leaching LEACHING AREA Chamber To Be, Installed On /� H-20 Required 550GPD/0.74(LTAIt) 743.24S0.32SFred ra Sideavall=2(12.83'+43.25')2'=220.32SF OVEF3LAY DISTRICT: S� e ompac a ase _ . 25.00 Bottom Area=(12.83'x 43.25)=554.9 SF Bedding,"T"s, Total Provided=775.22SF AP -Aquifer Protection District ' Inspection Port, alrttairxt. r. j.Rprat�e.'&..'ReptQc RPOD- Resource Protection Overlay District & Baffels #N:urrsu;.toy{e:;Soi{s::�uitii,n.: ' at N LEACHING CHAMBER DESIGN as Per Title 5 i7ie:0u#er f' r,rxte#er of::ie :Sys#ern b N 5$Pi Pipes be asked �e d as Schedule Location Ma 5-500 Leaching Chain in a EL. 12.5 p" 1 'x 4 5'W Stone F' Shown No Groundwater 1"=2,000±' DEVELOPED PROFILE OF SYSTEM Per Test Hole 1 EL. 5 Groundwater NOT TO SCALE Per T.O.B. Standard ASSESSORS REF.: Map 18, Parcel 104 PERC TEST: 13,782 FLOOD ZONE: PERFORMED BY:CHARLES ROWLAND EIT- SULLIVAN ENGINEERING SOIL EVALUATOR NO.13586 Zone C WITNESSED BY:DONALD DESMARAIS,R.S.-TOWN OF BARNSTABLE Community i t Panel NO. ��-- NOVEMBER 26,2012 y 40 Private Way) Roa #250001 0021 D 0W ______ SITE PASSED July 2, 1992 R' g Finish GradePine Ed e of Pave !! r "' �, TEST HOLE-1 EL.23.0 TEST HOLE-2 EL.20,i /� -' LA 1 G/ 1 A 3 Max. oS °-o-°-O CB/DH G1Y: GRAY`- .......... : s Min Compacted Fill Filter t ) R' J Fpdtlfllt� l S7A40' "Et Fabric 25" 1 , r`f 14.9' ° Fnd 1 , lyi:SA1TD:..:'. 22.2 hi.SAND 20.0 /A dlor °1 YELLOWISH BROWN YELLOWISH HRUWN' t 8" - t 2" / 200.0 4.T Pea Stone M.SAM M.SA1�A� v 4 3/4" - t t/2" o LEACHING Double washed 3 YELLOW YELLOW° 1Hy�4 � TH43 ) / � � � cn CHAMBER stone Lawn I. M.SAND M.SAND / i -C shed ° 12 " M. i Bench Mork �� J Shlell Ch x 24" C. 4._ t Or / J _f i DrIve �� First Floor I o 25 GALLONS GONE IN 8 MIN 20 SEC. Elev.=35.26' ° 120" PERC RATE<2MIN/IN(LTAR=0.74) 10.7 t 12-10" ! #35 m Basement� Slob-- 1 1/2 Sty CROSS SECTION OF CHAMBER '}' r ff w/f Dwelling Me e� °`° 47 NOT TO SCALE f o o ^� 1 rH 'i TEST HOLE-3 EL.20.70 TEST HOLE-4 EL.18.. i % AU LA 6/ A. / r•� GTf�X: .:: :::.. GRA . ... 19.9 10 M SAND 17.67' O / f // ; i j ti3 i° M I c-z YELLOWISH BROWN. YeLLGWIsx BRDWN SEPTIC NOTESShown on This Plan Are A to o\ .. pprat.At Least 72 Hours ° ao rt 20^ Mi SAND.:.. 19.0 22 .:'. .. .. SAND 16.7 Prior to Any Excavation For This Project the Contractor Shall Make the Required Notification to Dig Safe(1-888-344-7233). ° a y YELLOW .YELLOW Required to Secure Appropriate Permits From Town Lawn o M.SAND 2.The Contractor is I a 120" 10.7 M.SAND PProPna �{PProeased' j ° � � � 28" -16.2 Agencies For Construction Defined by This Plan l fl nv �! / / Grw;'l ori'e , 25 GALLONS GONE IN 5 MIN 30 SEC. 3.Wherever Sewer°Lines Must Cross Water Supply Lines Both Lines Shall 7 6' 120" PERC RATE<2 MIN/N(LTAR=0°74) 18.5 Be.Constructed of Class 150 Pressure Pipe and Shall be Water Tested to 43.3' -p slab I Assure Watertightness, In General,Water Lines Shall be Constructed in 1 f µ e EI =32,o' Coordination With Cotuit Water,and Shall be in Accordance t With 248 CMR 1.00-7.00&310 CMR 15.00. r w ^Y , { PrBarned 5.All MiStrnimum Buried oTee Feet viRequired ll Components. 1 Z r f ! 1 112 Sty to Vehicular Traffic to be H-20 Loading.It is the Engineers 0 Recommendation that H-20 Always be Used 6.Install Watertight Risers and Covers to Within 6"of Finished Grade Existing Sept] Pit Over c Tank Isle and Outl D-Box and One Leaching Chamber. 1 v to Re Abando d Septic y (V(♦1 I F '" . 7.Septic System to be Installed in Accordance With 310 CMR 15.00& or Removed beP• Y8 Pitch For Drain'h ge 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable Away from Bullding Board of Health Regulations. J / I CB/DH C6/DH 8.All Piping to be Sch 40 PVC. Fnd 7 ' "E Fnd 9.D-Box Shall Have a Minimum Inside Dimension of 12",and a Minimum j I 100.00 Sump of 6". %! ( t ; } Lot 231 Io Outlets Shall be Nostance Less than theme the Septic Depth. eett T�and Extend io.1' q • i t i tt 45,OOO f SF 1.Do W a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" ' Below the Flow Line,and Shall be Equiped With a Gas Baffle. PROPOSED BARN SLAB ON GRADE SOIL ABSORBTION SYSTEM ' 50, NOT TO SCALE Ca/DH PFnd LSNOF/�j� H S7140'20"E i . 9 300.00' het\o1 Edge or BVW LEGEND: �Q J N C, c N/F i� e°t ettla as Flagged by EA t m Josh H & Nicole J Ford i Ea9 K Brad Han C) =, 23098/157 \ N°le J°ly/12/2an ElC8/DH Guy N 8168 ua \ Utility Pole 9 FGfSTE �` SS�0IVAL PLAN VIEW OHW- Overhead Wires 1„-301 Perc. Test Holes TI TLE. Site Plan PREPARED BY. PREPARED FOR: NOTES: Proposed Im rOVements Ca eSury 1.) The property line information shown was p p Sullivan Engineering, Inc. p Justin & Natalie Spence compiled from available record information. _ 7 Parker Road m At Po Box 659 35 Pine Ride Rood Osterville, MA 02655 Osterville MA 02655 g 2.) The topographic information was obtained y 35 Pine Ridge Road (508)428-3344 (508)428-9617 fax (508) 420-3994 (508) 420-3995 fax COUtit, MA �2635 from an on the ground survey performed on a copesurv@copecod.net or between 29/SEPT/11, 061OCTIll & 301NOV112 j Barnstable, Mass. o Cotuit 3.) The datum used is an assumed NGVD '88 C) Draft: CTR Field. WK/CTR 30 0 15 30 60 120 �L DA TE: SCALE. January 11, 2013 1" Review: Ps comp.: cTR = 30' Project: 320029_Spence Project: C578