Loading...
HomeMy WebLinkAbout1585 SANTUIT-NEWTOWN ROAD - Health �.. f5�� �Cz✓�fGa r 1 �I �v�f©w 9vA, ---�-- -------- „ i! TOWN OF B STAB E LOCATION �� SEWAGE # VILLAGE U ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO: ,✓e SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �® (size)NO.OF BEDROOMS BUILDER OR OWNER / � z PERMIT DATE: / I e -7-C- COMPLIANCE DATE: O 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 i ��= �� Commonwealth of Massachusetts Da � / 07 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s M 1585 SANTUIT NEWTOWN RD. �O Property Address E++ MCNEELY Owner Owner's Name C? information is COTUIT ✓ MA 3-16-16 required for w every page. Cityfrown State Zip Code Date of Inspection G7 W 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 filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name +L P.O. BOX 145 Company Address CENTERVILLE MA 02632 'eQ°0 F Citylrown State Zip Code 5084204534 S14297 Telephone Number License Number 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: fi ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority .� 3-16-16 1605A signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 L 1 } Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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: AT TIME OF INSPECTION SYSTEM MET ALL PASSING REQUIREMENTS. FUTURE PERFORMANCE CAN NOT BE DETERMINED FROM THIS INSPECTION REPORT. THERE WERE NO OBSERVATION PORTS ON THE LEACH FIELD SO LEVEL OF PONDING IN THE FIELD WAS NOT ABLE TO BE DETERMINED. 13) 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 C Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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): ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of:a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ 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 feet of a private water Y P 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. 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 ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or Obstructed pipe(s). Number of times pumped: ❑ ® 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 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 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owners Name information is required for COTUIT MA 3-16-16 every page. CitylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ 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)] 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): 440 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. CitylTown State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT SYSTEM CONSISTS OF A 1500 GALLON TANK-DBOX-AND A 20X30 FT FIELD. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes Z. No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: UN AVAILABLE AT TIME OF INSPECTION PER COTUIT WATER. Sump pump? ❑ Yes ❑ No Last date of occupancy: MAR 2016Date i Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Cations per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: MAR 2016 Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? 1500 GALLON TANK Reason for pumping: MAINTENANCE 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): l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form: Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 4/30/99 AS-BUILT CARD/ PERMIT 1-22-99 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 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.): Septic Tank(locate on site plan): Depth below grade: 3 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: 1500 Sludge depth: HEAVY t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness HEAVY Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? 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 NEEDED PUMPING AT TIME OF INSPECTION SO IT WAS PUMPED BY DEBARROS SEPTIC DURING THE INSPECTION FOR MAINTENANCE. 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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 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 t5ins•3/13 Title 5 Official Inspection Form: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 °M °r 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State 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 011 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.): RECOMMEND INSTALLINR RISER ON D-BOX TO BRING CLOSER TO GRADE. THERE WER NO SIGNS OF FAILURE OBSERVED IN THE D-BOX AT TIME OF INSPECTION. 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS.not located, explain why: THERE ARE NO OBSERVATION PORTS ON THE LEACH FIELD AND DUE TO THE DEPTH THE LEVEL OF PONDING AND STAINING WERE NOT ABLE TO BE DETERMINED. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 20X30 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): THERE WERE NO OBSERVATION PORTS ON THE S.A.S. AND DUE TO THE DEPTH WE WERE NOT ABLE TO LOCATE. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. City[Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: GREATER THAN 5 FT 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: MAR 2016 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: DESIGN PLAN Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 1585 SANTUIT NEWTOWN RD Property Address MCNEELY Owner Owner's Name information is required for COTUIT MA 3-16-16 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems)completed E System Information—Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Assessing As-Built Cards Page 1 of 2 TOWN OF B STAB]E� LOCATION �V SEWAGE N VI L.AGE ASSESSOR'S MAP a,LOT INSTALLER'S NAME&PHONE NO. ✓ °2 SEPTIC TANK CAPACrrY 0 LEACHING FACILTTY:(type) _e —ZC9 ' (size) NO.OF BEDROOMS BUILDER OR OWNER t /�N PERMTTDATE:,Z4' r 7r', OMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Fat 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 r�r ZZ _z Z SS t._ I http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=024009001&seq=1 3/21/2016 i TOWN OF BARNSTAB E LOCATION /-5 SEWAGE # VILLAGE 0 ASSESSOR'S MAP & LOT ' w om INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACIL=: (type) /�� �� (size) NO.OF BEDROOMS BUILDER OR OWNER 1 — � PERMTT DATE:�t 7 5::� COMPLIANCE DATE: i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i 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 1 - � I �z .� � .. a: �!3- C ! ". Fee . No. f Y6 fi THE COMMONWEAL OF SUCH SETTSIAG � Lhtered in computer: Yes PUBLIC HEALTH DIVISION - TOWN F ARNSTABLEs MASSACHUSETTS Application for Migogal tern Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or o No. , Owner's Name,Address and Tel.No. Assessor's Map/Parcel ."0 C_A\,Z. Wmk _ ' .E'T 0o9- 00 1is evv� Inst ler's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. &-:L i Z. • �®.sue, . �` t �, -r ta�w�est-Q-. Type of Building: ` t Dwelling No.of Bedrooms _ Lot Size 8Y,0'&Q sq.ft. Garbage Grinder(N} Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ~ Design Flow Li C! gallons per day. Calculated daily flow gallons. Plan Date yg.. pT=ems / �z�Number of sheets Revision Date -g Isr Title Size of Septic Tank 4 � Type of S.A.S. ;;LD IP' (r-c..L -r1 eAk_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by !-� Date Application Disapproved for the following reasons Permit No. " 12 16 Date Issued y .. � r' �i ._.�-. -'_,,:�,a,5 .u:.+,:..:zx.���^';i�..ray'��e;.,y,. yam:—,—t.'.."�-,+_'.+�.er,•"�• r y �_�y 4 y� f '. o " - No. ^ � ' _•„��a � � 1 � 1 r�1� Fee T.HE COMMONWEAL OF ASSACHUSETTS v'� }entered in cottputer: Yes PUBLIC HEALTH DIVISION - TOWN F ARNSTABLE.,MASSACHUSETTS application for Migogal 6 tens Cou!6tructiou Vermit Application for a Permit to.Construct( 4epir( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or of No. Owner's Name,Address and Tel.No. /sss ���w 1' Assessor's Map/Parcel �b O 0ck- 001 an Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. n g`3 i-�to / W+-1�\ !a.•.� Ser.hc a„S ,t`` be' 30�¢,S C7g t ..�. se g�Z.- 2 L Z G 3 3 � Type of Building: Dwelling No.of Bedrooms Lot Size 8 &O sq. ft. Garbage Grinder(NQ 1 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow L%4 0 gallons per day. Calculated daily flow gallons. Plan Date Mnn rd� Mumber of sheets l Revision Date f 2 l\ ck sr Title + Size of'Septic Tank Type of S.A.S. AO?( 30 Description of Soil Sew n\C, r r 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 Tide,5 of the Environmental Code and not to place the system in operation until a Certifi- cateof Compliance has been issued b [tthis Board of Health. Signed Date Application Approved by Date 1"' 2 - . Application Disapproved-fo�Ke following reasons t' Permit No. - Date Issued v --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY that the On-site ewa a Disposal System Constructed( Repaired( )Upgraded( ) Abandoned( )by �� �( �K) at y We w to wv`. 0 0-vul\'V- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �6- �- Installer n Designer A The issuance of this permit all of e nstrued as a guarantee that the syst it igae functi n as desrd/l. Date �� - Inspector ��' v ——————————————————————————————————————— NO• Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwi$ponl _* ettt Con5tructiou Permit Permission is hereby granted to Construct( KRepair( )Upgrade( )Abandon Pg ( ) System located at /SkS- Mew rpwu� (Z C ai-w•`�""' and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date. i 1 C � 9' Approved by e foP bi= FOU�flAT/pn1 E�. 100 6woV1,19 SURfl1CC EL Ql a .O ANDARD NOTES 6" M 1) THEY PLAN IS FOR THE INSTALLATION OR REPAIR OF A SEPTIC SYS7E'M AND ISNOT INTENDED FOR SURVEYING OR ZONING OUTL LI �°IPE Gf►/�C PURPOSES. Toro fEE7 IJO l/EAIT /QLIqufRED '� p 2) ALL BUTALLA770N PROCEDURES AND MATERIALS" SHALL CONFORM! 7V 310 CMR 15.000, THE STATE ENVIRONMENTAL CODE, TIME 5, AND THE YOWNV OF __ Barnstable — SUBSURFACE DISPOSAL REGULATIONS. 0. 1 MIN e' LAYER DOUBLE WASHED /O,, p-Box 1/81- I/2' STONE 3) NO DETERMINA77ON HAS BEEN MADE AS TO COXPLIANCE OF AVAffABLE PROPERTY MFORMA770N WITH RECORDED DEEDS 0. INVERT EL. ly'' / , 6" OR ZONING RWULATIONS. CA ,CJ GA5 girrCf 4r 0U7Lt7 EL V Jb ' E/ wA7 4) 7nANV NAM SERVICES TINS PROPERTY. i /NvER� EC \ �l0 3 ---- I�VER'r f✓L- 5) THERE' ARE NO KNOWN PRIVATE WELLS ON TIZZY PROPERTY OR WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SISTEK 96 r� 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT YV WITHIN 12 OF FINISHED GRAD. WITH ONE COVER OF THE LT y p Field (2� � �0 1 3/4'- 1 1/2' DOUBLE SEPTIC TANK BROUGHT WITEW 6" OF GRADE. fN�ER f EL (Typical) / . WASHED STONE 6" StOtk' BASE /Nvf27 EL, � � � 7) ALL SYSTEM COMPONENTS SHALL REMAIN ACCESSIBLE FIIR BVSPEV27ON. NO STRUCTURES SHALL BE LOCATED DIRC"CTLY 1500 Gal Septic Tank fply � /�O fTruM trL UPON OR ABOVE 771E COMPONENT ACCESS LOCA770M,, WIHCH NV ULD INTERFERE WITH = PERFORMANCE, ACCESS, INSPECTION (Typical) l r S $.S PUMPING OR REPAIR F>L-5� HoGE 8) NO DRIVEWAY, PARKWG OR TURNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL A83ORP77ON SYSTEM EXCEPT WHEN VEN77NG HAS BEEN PROVIDED. 9) SEPTIC TANKS, GREASE TRAPS, DOSING CHAMBERS AND DISTRrBU770N BOAES SHALL BE PLACED ON A 6" STONE BASE 4, 6' fj' 4, 3O - � 710 ENSURE STABILITY AND PREVENT SETTLWG. 10) OUTLET' DLSTRZBU77ON LINES SHALL REMAIN LEVEL FOR A MIMMUM OF 771E FIRST TW0 FEET OF 7TIEIR LENG7N 11) ALL SYSTEM COMPONIMM SHALL BE CAPABLE OF IITTHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' e_ t--2" ': 1 8'-1 2' DO URLE MASH STONE: :;:_:::::: :::::::: DESIGN DATA OF DRIVEWAYS OR PARKING OR 771RMNG AREAS, W WHCH CASE H N20 COMPONENTS SHALL BE USED. 4" / 0 0 0 0 ° ° C C, 12) ALL BUILDING SEWER LINES SHALL HA VE AN INNER DIAME'7ER OF 4 AND SHALL BE CAST-IRON OR SCHEDULE 40 P VC. 0 13) TIM DEPTH OF 771E 71'IP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VEN7/NG HAS BEEN PROVIDED. " Number of Bedrooms: 4 14) W THE AREAS OF EXCAVATION, EXISTING GRADES SHALL BE REESTABLISHED UNLESS N07Z�'D AS PROPOSED CONTOURS. ° °3r, o° Q43 �to 1-1 O ° 00° ) ) Garbage NO 6" ° °° OU LE WASH ST7NEo° ° o °° ge Grinder: 15) IF SOILS ARE ENCOUNTERED DURING Thal EXCAVATION OF TNT' SOIL ABSORPTION SYS7EAC THAT DIFFER NOTABLY FROM Q ° U o 0 0 0 ° o o Design Flow 440 THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. (110 Gal/BR/Day x Number of BR) 18) CONTRACTOR TO VERIFY LOCATION OF ALL UNDERGROUND UTILITIES 'go �4" PERFORATED PVC PIPE Septic Tank 1, 500 (Minimum - Design Flow x 200%) Leaching Area: LEACH FIELD DETAIL - Sidewalk N. T.S. (4 Sidewalls x i x Fi) + (4 Endwalls x Ft x Ft) Bottom: DEEP OBSERVATION DEEP OBSERVATION zo >t 600 Long Term Acceptance Rate (LTAR): 0. 74 HOLE L 0 G HOLE LOG Leaching Area Design Capacity: 444 (Sidewall Area + Bottom Area) x LTAR Test Hole #1 Test Hole Z (EL = y 9 ° f) (EL TAt) ev Soil Soil Soil p lev Soil Soil Soil DrO Horizon Texture Color �m At) Horizon Texture Color (USDA) (Munson) (USDA) (Munson) 0 - 4" 0 SANDY LOAM 10YR413 0 - 4" 58,9 0 SANDY LOAM 10YR413 Zoning Reference -- 4" - 16" B LOAM f0YR5/8 4" 16" RIT 7 B LOAM 10YR5/8 Zone RF � 16" - 36" `� 0 C1 LOAM 10 YR5/6 16" - 36" ��'o C1 LOAM 10 YR5/6 s�A�E ; Area: 43, 560 Sq. Ft. / _ 36" - 126" �$.S C2 MED-COARSE 10YR6/4 36" - 126" �� C2 MED-COARSE f0YR6/4 r �Jond ,2a r�o �, - — -3s2' ± - - l ro.n tage: Min. 150 SAND SAND 5v0 CAL— +� b� --�o� \ lxt�-H1Nv t'a�i�1tY Setbacks 3_ \ Zo' x jp' (,�AC 1-1 F I t t Fron t: 30, Deep Obs Hole Date: APRIL 16. 1998 Deep Obs Hole Data: APRIL 16. 1998 l P£S Soil Evaluator. JACK LANDERS-CAULEY Soil Evaluator. JACK LANDERS-CAULEY -- �� _ S y ♦ 3�S • S c � TES w 3 ' `F PE A �� �' Side: 15� By: GERRY DUNNING witneaaed By GERRY DUNNING 1litnesaed ' OJ ` 0 /_ ti ( N pit 1 (*E a e-m (0 Rear.• 15 Perc Rater < 2 YIN/IN O 5.5' Perc Rate: < 2 MIN/IN O 5.5' /+� Soil Survey Description: CARVER Soil Survey Description: CARVER - �� \ Geologic Material: OUTWASH Geologic Material OUTWASH U/c �3� b \ PRO P TEST L o T Z_ / Plan Reference Depth to Standing water: 120 Depth to Standing Water. 120" lU �0 1 00 D-Roy, \ 01 T + ^ Depth to Weeping Water. NA Depth to Weeping Water: NA S y-°Uo �+b �"� — v N s F. Depth to Mottling(Color: NA Depth to Mot Q Plan Book 492 ) p tling(Colo=): NA S \ Z v 0 lb o - _ / Est Seasoned G1/ 114" Est Seasonal G 4 lo� - — Z 1.`J ugh High G1/ >f4.. o \ C61 i \ 5N A P F Ac � D Z Page 54 USGS Observation Well: MITI 29 USGS Observation Welk xllr 29 \ Date of Last Measurement: APR 22, 1997 Date of Last Measurement: APR 22, 1997 Comments: Comments: 00�!- (y) ti PROJECT LOCATION 1585 S'antuit-Newtown Road 3s , ° as Cotuit, MA s9 �� N C v ltl,(l LOVE t-L S ASSESSORS MAP 24 LOT 009 - 001 i,;el i APPLICANT.• �AS��r Q���'� Dan & Cindy McNeely ,o _ ` _ 8S � Go �0��5 260 Castle Wood Circle Hyannis, MA q ti �P�,r+`�o� PREPARED BY. A & M Land Se 5' MST ° riddes n r- / 1 s `� 33 Old Main Street South Yarmouth, MA 02664 G o (508) 398 2121 Fax 394 9642 'SZ8 y 92 F OF Z SCALE 1" = 10' DATE.• JUNE 25, 1998 � FJ• S � 4— yz , w► oe e t o c 13 rt /3 64 , 44 e tt .0,- SPUFFORO REV. i z�//17 r �GUv ` L✓rU�� \ ` _ po .�� 'o LOCUS MAP tirY w,�y N4"Qlsus�'� 1585 Santuit-Newtown Road Co tui t, MA DWG. NO. 98011 SHEET 1 OF 1 1 r air 1J� 01= FoL) t?(XT/O✓J Et. ------ ------ -- , o STANDARD NOTES _ - -------- GR°V)V.0 SL)RFAeE EL 6 M _ — - ---- = ----. 1) THLS PLAN IS FOR THE INSTALLATION OR REPAIR OF A SEPTIC SYSTEM AND LS NOT INTENDED FVR SURVEYING OR ZONING oUTLE1 /'/�°E GEi,�� PURPOSES 2. ---�_ --- FIRST Toro FEE7 3 /CIO I/ENS I?E4ut�fD �, D 2) ALL IN5'TALLA770N PROCEDURM AND MATERIALS SHALL COATOA ! T9 310 CAIR 15.000, THE STATE ENVIRbNMFJVTAL CODE, Q lCJUlD LE vEL TITLE 5, AND THE mw OF _ Ba1"1_LStable _ SUBSURFACE DISPOSAL REGULA77ONS V 1 MIN 2' LAYER DOUBLE WASHED o-Awl ve'- Irr STONE 3) NO DE'TERAfINA770N HAS BEEN MADE AS 7b COMPLZANCE OF A V4LZ,4BLE PROPERTY B#VRMA770N #77N RECORDED DEEDS 0. /NVERT EL. l° /cC 11 '" Gl 11� 6" OR ZONING REGULA7YONS: �bS E�T��Tl�E C'�,�j� G�5 �aFf� /ar ou7��T / /,vtiERr Ec 4) ?i�W7V RATER SERVICES TIES PROPERTY. _ 'SIDE tv�t;L /NC/�/17 EC '11 5) THERE ARE NO KNOWN PRIVATE WELLS ON TILLS PROPERTY OR WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. /tc/✓6(11 LC. _ \ l�VE2T EL• 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 12" OF FM23HED GRAD4 10ITH ONE COVER OF THE q q Leach Field (Z ,� �0 1 3/4'- 1 1/2' DOUBLE SEPTIC TANK BROUGHT WITHIN 6" OF GRADE. /NVERT EL Ili (Typical) l / WASHED STONE 6" S7L S BASF /N U;2i EL, �� 7) ALL SYST M COMPONENTS SHALL REMAIN ACCESSIBLE mR INSPErnoN. NO STRUCTURES SHALL BE LOCATED DIRECTLY 1500 Gel. Septic Tank cl�' `� Qom/toivi �� Ooff jM et. UPON OR ABOVE THE COMPONENT ACCESS LOCATYONS, WMCH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION (Typical) l a I ca$ 5 PUMPING OR REPAIR — 25 r l?jo7T M vT >L5� /loLE B) NO DRIVEWAY, PARKWG OR TURNING AREA, OR OTHER LVPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION � SYSTEM EXCEPT WIZEN VENTING HAS BEEN PROVIDED. 9J SEPTIC TANKS, GREASE TRAPS DOSING CHAMBERS AND DL57RIBUTTON BOXES SHALL BE PLACED ON A B" STONE BASE _-----_. __ 30� --._— --------��- YO ENSURE STABILITY AND PREVENT SETTLING. 4 0 -4 8 4' 10) OU7ZET DISTRIBUTION LINES SHALL REMAIN LEVEL FOR THE FIRST "M FEET OF T7IEIR LENGTH 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' B'-1 2" DOGB_LE' W'_.�sH ::::: DESIGN DATA OF DRIVEWAYS OR PA WG OR TURMNG AREAS, IV WHICH CASE H-20 COMPONENTS SHALL BE USED. 4" v _ 00 Q Q -' Q 00 C t i 12) ALL BUILDING SEWER LINES SHALL HAVE AN INNER D1AME7E'R OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PYG: 0 0 �� 13) THE DEPTH OF THE 7tOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED. Q Q Q Q Q 0 Q Q 3 0 Q to 1-1/2',Q Q Q Q Q0 Q Garbae Grinder: No Q Number of Bedrooms: 4 14) INN,AREAS OF EXCAVATION, EWT?NG GRADES SH ALL BE REESTABLISHERSD UNLESS NOTED AS PROPOSED CON7rJURS 6" o Q 0 /4 0 0 Q Q g 15) -7 SOILS ARE ENCOUNTERED DURING THE EXCAVATION OF 771E SOIL ABSORPTION SYSTEA4 THAT DIFFER NOTABLY FROM ° Q Q o Q c UBL DOLE QSTONE() Q Q 0 0 0 Design Flow: 4 4 O THE DEEP OBSERVATION HOLE LOG, CONTACT THE ENGINEER BEFORE PROCEEDING. (110 Gal/BR/Day x Number of BR) 16) CONTRACTOR TO VERIFY LOCA770N OF ALL UNDERGROUND UTILITIES' 20' 1 4" PERFORATED PVC PIPE Septic Tank: f, 500 (Minimum - Design Flow x 200%) LEACH FIELD DETAIL Leaching Area:Sidewall: w. . N. T.S. (4 sidewalls x Ft x _�`!) + (4 EndwaU2 x fit : Ft) Bottom soo DEEP OBSERVATION DEEP OBSERVATION Long Term Acceptance Rate (LTAR): 0. 74 HOLE LOG HOLE LOG Leaching Area Design Capacity: 444 (Sidewall Area + Bottom Area) x LTAR _- Test Hole #1 Test Hole Z (EL = y g ° f) (EL D� �h ev Soil Soil Soil D�pp lev Son Soil Soil (�) �ft) Horizon Texture Color Horizon Texture Color (USDA) (Munson) (USDA) (Munsell) 0 - 4" 56•r7 0 SANDY LOAM 10YR413 0 - 4" 981 0 SANDY LOAM 10YR413 Zon.in,a Reference T 7""4 - 16 9 B LOAM f0YR5 8 4" -- 16" 9^, 7 ------- / B LOAM 10 1 icy/8 -' won e ��' _ �: .. ... . .. ..:_ . .. . ... ... ._ , .. .. I ` C1 LOAM f0YR5/6 16' - 36" C1 LOAM 10YR5/6 IjCALE Are��: 3, 060 Sq. Ft. , 36 ' - 126" fig.y C2 MED-COARSEf0YR6/4 36" - f26" — F'w n to e Min. 150' SAND C2 MSANDOARS fOYRs/4 Setbacks / 30 tti Deep Obs Hole Date: APRIL 16. 1998 Deep Obs Hole Date: APRIL 16. 1998 2�' LE A�r-� F 1�L r� iron t: 3D TES` w 3 " '{ I PE12(. P�1C �' iP£S Side: 15' Soil Evaluator. JACK LANDERS-CAULEY Soil Evaluator. JACK LANDERS-CAULEY I Witnessed By: GERRY DUNNING Witnessed Hy: GERRY DUNNING Pere Rate: < 2 YIN/IN O 5.5' Pere Rate: < 2 MIN IN O 5.5' ,�o zo L Rear. 15 / - _ Soil Survey Description: CARVER Soil Survey Description: CARVER /3 D \ pjep TEST \ L T Plan Reference Geologic Material: OUTWASH Geologic Material: OUTWASH P V I Z Depth to Standing hater. 120'• Depth to Standing hater. 120•• P I T /N Depth to weeping linter: NA Depth to peeping Water: NA r � _ \ � � + � Depth to Mottiing(Coior): NANA G ��. } , , — _ \ z S p o - Plan Book 49� Depth to MottlinhColor): 14 Est Seasonal h GW: 114" Est Seasonal Z 1. �� USGS Observation Well: M W 29 USGS Observation Well- M1W 29 , i cb� _ 5k f - 1 02 Page 54 Date of Last Measurement: APR 22, 1997 Date of Last Measurement: APR 22, f997 `�� Comments: Comments: y� Orb 1Q, �1�, k oZaoa PROJECT LOCATION 1585 Santult—Newtown Road f` I. Cotult, MA /L O VC i-0 ASSESSORS MAP 24 LOT 009 - 001 _ i ( C, Wog o AS�fJJ r APPLICANT Dan & Cindy McNeely �� ��'� �,a LDC.V5 260 Castle Wood Circle Hyannis, MA 3 �- ® —• - � � � ri'u� � Po PREPARED BY A & M Lend Services 33 Old Main Stree t South Yarmouth, MA 02664 °s. (508) 398-2121 Fax 394-9642 v SCALE' 1 = 10 DATE.• JUNE ,25, 1998 N qF bps � OF ZA t'I TUFT qy C 2oO o y2 wi M. �(. f- — u SPOFFORO REV. l Z,/,//f Y 1eC C u = SPOF RD 4 (cU �'�J%✓ -- 9 •�a3 �� $ nc.zjaw LOCUS MAP Utir Y �� o,� c � a 1585 Sant ui t—Ne�r�to wn Road U Co t ui t, MA DWG. NO. 98011 SHEET 1 OF 1 _