Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0040 TOPSAIL CIRCLE - Health
705-Topsail Circle Cotuit A = 018 — 096 - 004 ------------------ Massachusetts Department of Environmental Protection Bureau of Resource Protection Well Completion Reports Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 40 TOPSAIL CIRCLE Please specify well type: Building Lot#: Assessor's Map#: Irrigation 018 Assessor's Lot#: ZIP Code: Number Of Wells: 096 004 02635 CitylTown: Well Location BARNSTABLE In public right-of-way: GPS C_Yes C-No North: West: 41.60694 70,44447 Subdivision/Property/Description: Mailing Address: click here if same as well location addres Property Owner: Street Number: Street Name: BRIAN ZIMBLER 40 51 City/Town: State: Engineering Firm: �� vt nR�TnB6E MASSACHUSETTS �I ZIP Code: 02635 Board of health permit obtained: Yes C'°Not Required Permit Number: Date Issued: W2021059 10/08/2021 Massachusetts Department of Environmental Protection x; Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock uger k Choose Bedrock- WELL LOG OVERBURDEN LITHOLOGY — - _ From(ft) TOM Code Color Comment Drop in drill Extra fast or slow Loss or addition stem drill rate of fluid (0 20 Fine Sand I�' Brown _T C Fast( Slow YES NO Loss Addition 20 30 Fine Sand I Browny ES {"i Fast I Slow oss Addition —. .....--- _..._. ... --- —-- - — — — 30 1 40 Medium Sand { Brown •� �.� ( Fast(.Slow t YES NO �_____ Loss Addition WELL LOG BEDROCK LITHOLOGY W � Drop in Extra fast or Loss or Extra Visible Rust From(ft) TOM) Code Comment addition of Large drill stem slow drill rate fluid Staining Chips Choose Code ) Yes Yes --- --- YES. Fast Slow Loss Addition ADDITIONAL WELL INFORMATION Developed f�°Yes C N� Disinfected Ef Yes i No Total Well Depth 40 Depth to Bedrock Surface Seal Type None racture Enhancement -.. -_-_ CASING Jr.Is Casing above ground? — .... --. .. ._._—_..._._..-- -- From To Type Thickness Diameter Driveshoe _.._... .... - —-- ------ - ..... t'8 Polyvinyl Chloride _. Schedule 40— ---j L" _3 r Yes SCREEN r No Screen From To Type _ Slot Size Diameter 36 _] 40 Stainless Steel Well Point J 0.01_� � WATER43EAPJNG ZONES 11 DRY WELL From ..... .—..._._.....To................. Yield(gPm) 16 40 12 PERMANENT PUMP(IF AVAILABLE) Wire Constant Pump Description Speed Horsepower Submersible tF Pump Intake Depth(ft) 35 Nominal Pump Capacity(gpm) 20 L Massachusetts Department of Environmental Protection Bureau of Resource Protection-Well Driller Program i Well Completion Reports(General) ANNULAR SEAL/FILTER PACK From To Material 1 Weight Material 2 Weight Water Batches Method Of (gal) (count) Placement lChoose Material Choose Material 33 � —Choose One— J WELL TEST DATA Date Method Yield(9P m) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) ........ ......---- ---- ........... ........................ 11/01/202� Constant Rate Pump 12 01 30 20 � 00 01 16 WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 11/01/2021 16 12 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. WILLIAM Supervising Driller DESMOND, DrillerUROUHART Registration# 877 Monitoring[M] Signature PATRICK, DESMOND WELL Firm DRILLING INC. Rig Permit# 024 Date Job Complete 11/10/2021 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. ENVIROTECH LABORA TORIES,INC. MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Client Name: Desmond►Yell Drilling Location Address: PO Box 2783 40 Topsail Circle Orleans, MA Cotuit 02653 Lab Number: DW-215263 Collected By: Desmond Well Drilling hate Received: 11/03/21 Sample Type: Irrigation Well Specs: 40716' Location Source Date Gallected a Time,:Collected' Comments A K 11102J21 _ 1,O:d5 „. . . . Analysis Requested Units Recommended Limits. Analysis Result Method . Date Analyzed Analyzed By Total Coliform CEU/100mL 0 0 SM9222B 11103/2021 SD Q 1230 . ............... pH pH units 6.5-8.5 7.17 SM 4500 H B 11/03/2021 SD Specific Conductancen umhos/cm 500 106 EPA-1-20 1 11/03/2021 SD Nitrite-N mg/L 1 <0.006 EPA 300.0 11/03/2021 SD - --- ............ .. _...... Nitrate-N mg/L 10.0 3.80 EPA 300.0 11/03/2021 SD Sodium mg/L 20.0 12 EPA 200.7 11/04/2021 KB .,_ ...... Total Iron mg/L 0.3 <0.01 EPA 200.7 11/04/2021 KB Manganese M _ _ mg/L 0.05 0 145 EPA 200.7 11/04/2021 KB Comments: Over a lifetime,the EPA recommends that people drink water with manganese levels less than 0.3 mg/L and over the short term,EPA recommends that people limit their consumption of water with levels over 1.0 mg/L All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. Date 11/912021 Ronald J.Saari Laboratory Director BRL -Belong Reportable limits "See attached Page 1 of 1 «C:ertifrcalion is not available for this analyte for potable carter samples.. No. lJ� '�1 U" Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYication ,for Yell Cou..5tructiort Permit Application is hereby made for a permit to Construct�6, Alter( ), or Repair( ) an individual well at: qD To F ► I G I Irz.l 60+u i-t- D 1,9/ 0 ctt ce I C) Location-Address Asdessors Map and Parcel Arian 40 Tops--A' l GlrC,&-,CotUt , MPk 0Z6315� Owner Address 17 esmohd WAiI -Dri l I '64 t Inc JOo ia>bx .27&3, Orly , Mh: 02—caq3 . Installer-Driller Address Type of Building / Dwelling ✓ Other-Type of Building No. of Persons Type of Well 4 4D K V C- Capacity Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certifica e f Complian h n issued by the Board of Health. Signed • Date Application Approved By Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed 0, Altered( ), or Repaired( ) by -L)r L L l��l I nL Installer at 4d Tb10 S I I e—' l rcAe-. t i� has been installed ih accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector / �..No. -Pi O�1 `"". i F �a 4 BOARD OF HEALTH TOWN OF BARNSTABLE 2pprication -for Vern Construction Permit � Application is hereby made for a permit to Construct(6, Alter( ), or Repair( an individual well at: c� E- c•, irc le, ,-t U i r 1 DotLQ 100 Location-'Address: Assessors Map and Parcel ; Tt)pc I 1 fa rc� ,Co+u it &A{\ G2 L�3 Owner .w Address" l� rrc�tid e0rril �� , Ir�c Installer-Driller u� z Address" 7 Type of Building / Dwelling Yr ' Other-Type of Building No. of Persons Type of WellL 0 � Capacity .. .` � t•a Purpose of Well ry f Agreement: The undersigned agrees to install the afore described individual well in accordance wi the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned fiirtheI agrees not to place the well in operation until a Certificate of Compliance has-been issued by the Board of Health. / Signed Date Application Approved B 1 PP PP Y Date Application Disapproved for the following reasons: Date Permit No. Issued Date -------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compli ance I THIS IS TO CERTIFY that the individual well Constructed' Altered or Repaired by ()V1 1AJLrl, L I + 1 r7"{ , Y1 V Installer at has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector _- . ..--------•--------------b-_---- ------------------ - ---- . --- , --------------•-------------------- �a BOARD OF HEALTH TOWN OF BARNSTABLE Yell Construction Permit No. (1 / '"`0 Fee Permission is hereby granted to �� 'C�ht�1G� � �` !i')CA I n� Installer to Construct Alter( '), or , Repair O an individualwell at: NO. �-i.L T~� � 1,i r C ip— Cao- (-u I A- Street as shown on the application for a Well Construction Permit No. U'J )0 [/ Dated OUP I/ r t Date I D f Approved By ! ,/, ; f"Lip" ,p ............................... ...................... cotult. MA A55c55oi`5 Map 18 Parcel 9G1004 LOCATIONS Or UNDERGROUND UTILITIF5 ARE APF.ROXIMATZ AND CONTRACTOR 5HALL M Deed Book I 93GG Page 1 14 RE5PONE1Bl_ff FOR DETERMINING THE EXACT LOCATION Of ALL UNDEPGROUND AND OVERHEAD 3 Plan Book 4 17 Pa cjc 4 2 UT11-1-1 IE'3 PRIOR TO COMMENCEMENT Of ANY.WORK.TM6 INCLUDES,5UT 15. NOT UmITED TO. REQUEST_'TO DIG5AFE.ANY PRIVATE UTILITY COMPANIE5,AND THE LOCAL.WATER Fcwrd 4 Th15 property 15 not in a Zone,11 DEPARTMENT. CE"UH Water Protection Zone. 5.)flood Zone:X500 (500 Yr flood) IN5TRLIMENT 5URVEY CONDUCTED FOR FPOPO5ED WORN ONLY. :511 t PLAN 5HALL NOT DE AE 100 Year flood) U5M FOR TAKING.OR ANY OTHER PUPF'05E5. 14 Zone Reference Min. Frontage: 150' Min Area: 435GO 5f 5ptback5 front: 30' 14 5' 60 T_ T- - < Rear: 15' SITE LOCUS L WIT 10..GALE 5n 2 nlx! r 'Oor Lot 4 0 Acres CJ A 01 40 D 3!G.31 0 ? • Lot5 ......................... T5ite Plan Prorce;ej Poo! i 40 TopsailCr'le Cotot,MA WEA-L "coaled For; Brian k ithn5tne Zirnblcr 40 Tou M G,!1 C:,.Awt.MA Prepared by; A M Laid 0 20 '0 ro W".'t MA 02G73 .........I Ph.(50ti)827 17 1 e E-1: 5CALE)'-20 ............... ....... ....... ............................... ...................................... No. Feep t �+ w THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS fiptiration for Vsposal *pstrm Construrtion 30Prmit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. &4 v Owner's Name,Address,and Tel.No. Coro t-a— t14A'U A dK vC-G, Assessor's Map/Parcel V b gLaci(01004 94,40TEYoCA&)p 5 td(rvG#*4,t Installer's Name,Address,and Tel.No. 50 S5-41 7—eg'd 1 Designer's Name,Address,and Tel.No. dAgaom GP c�1"KLSeS be c 5 ' Type of Building: 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 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) Date last inspected: &/ 61P V Agreement: The undersigned agrees to ensure the constructand maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' ed Date Application Approved by Date 74P Application Disapproved Date for the following reasons Permit No. Date Issued _-------- - -------------I—----------------------------------------- -------------------------- ��� - ZID t3' 2 2 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21pp.t�Attott4or Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. q v Tp 7 !C.C t1Z C,(�l: Owner's Name,Address,and Tel.No. Assessor's Map/ParceI p CvTv 1 T neltj ►�11, �R VGGtJ K Installer's Name,Address,and Tel.No. Sp$-477—$g77 Designer's Name,Address,and Tel.No. °C,rCtD� �L�PICtSL�S (�(.0 i Type of Building: ti H.welling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) .-Other-"""'t' Type.(f Building No.of Persons Showers( ) Cafeteria( ) ! zw : l ; Otlier*,gz res,. j Design Flow(mintrequired) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title I ,> Size of Septic Tank Type of S.A.S. i Description of Soil 'i f�0_c, Nature of Repairs or Alterations(Answer when applicable) �r V ox Date last inspected: 4 t V ..... ,ry Agreement. 1,' } �(D J The undersigned agrees to ensure the constructigptand maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed � Date 00 Application Approved by / Date S�� 1 r Application Disapproved Date for the following reasons i I Permit No. Date Issued .p_-. -------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance . THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(� Upgraded( ) T Abandoned( )by AP @A�(t)r-- � b�i S�� �,Q at 44® 7D PSA I I,0- �a� (JaC,?I T has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.z� — ZTi2 dated 612-5 120 i3 Installer C Dd� LLC.. Designer #bedrooms Approved design flow 1 gpd The issuance of this permit shall not be co strued as a guarantee that the system will,func'on as designed. / Date f Inspector ------------------ d No.ZO 13 Z 32 Fee /C�a f THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal. *pstem Construction 3permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at�/� ��J /�, c ` �, _���i i T' 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 Date l �7 7_� �� Approved by i of IKE ray. Town of Barnstable Barnstable e"MSTAB` Regulatory Services Department j MASS. 9� i63q. �m Public Health Division m 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7012 1010 0000 2850 9880 July 3"1,o I Anita M Elliott Trs et al 9 Lantern Lane Hingham, MA 02043 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 40 Topsail Circle, Cotuit, MA was last inspected on 6/07/2013,by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • The distribution box needs to be.replaced. You are ordered to repair or replace the septic system components within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\conditionally passed\40 Topsail Cir Cotuit 2013.doc \ VV �`KE i., Town of Barnstable Public Health Division ARM Ss`gig:. 200 Main Street ffO Mn+"� Hyannis,MA 02601 Anita M Elliot Tr et al 9 Lantern Lane Hingham, MA 02043 U.S. Postal ServiceTM 1 CERTIFIED MA►ILTM RECEIPT 1 (Domestic Nai110n1y;,N0 InsuranceCov-erage Provided) -■ I '' " ®F,or,delivery information,visit our,website:at www Ir .usps.com® i1 SJI Okl� o �. ITQI. PO'o IZ J O—Nigq ,jpl zLLIQW__ �a•¢1_ � 0pl�iq ~z ` . .- YWI U � Iy 501� - a I 1 1 1 1 1 1 ! PSporm 3800 August 2006 See_Reverse Or-,Instructions Certified Mail Provides: e A mailing receipt r , o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: ~ o Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. - ■ Certified Mail is not available for any class of international mail. ® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return i Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for ` a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. _ o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". j o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. I IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 I 0 Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent I 0 X Print your name and address on the reverse 0 Addressee I so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery U Attach this card to the back of the.mailpiece, or on the front if space permits. --- - -- 1 -1 D. Is delivery address different from item Yes I Article Addressed to: If YES,enter delivery address below ❑No 3. Service Type 1:1 Certified Mail 1:1 Express Mail 0 Registered El Return Receipt for Merchandise 0 Insured Mail 11 c.o.b. 4. Restricted Delivery?(Extra F66) 11 Yes 2. Article Number (transfer from service labeg PS Form 3811.February 2004 Domestic Return Receipt 102595-02-M-1 540 11NITEUSTATES POSTAL,SERVICE First-Class Mail Postage&Fees Paid' USPS Permit No.G-10 I _ _ ' I I Sender: Please print your name, address, and ZIP+4 in this box I I I I I I I I I I III I I I I I I I I I I I I � I I I �I I GI Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=615 !ERG 0. R, a 1 t r € tk C L 07 1 lr I 0AW1,5TAPLE.tt hthSS Logged In As: Parcel Detail Monday, July 22 2013 Parcel Lookup Parcel Info li Parcel Developer -- - ID 018-096-004 Lot LOT 4 Location 40 TOPSAIL CIRCLE Pri - - - --� Frontage Sec r-- _ �. I Sec r_ Road I Frontage's Village COTUIT ( Dist li t I`6TUIT Town sewer exists at this Road --- +� address INo ( Index -2127 Asbuilt Septic Scan: ` p Interactive . . 018096004_1 Map Owner Info _ Owner JELLIOT,ANITA M TR ET AL Co C/O MUCCI, MARIA Owner Streetl 19 LANTERN LN Street2 City JHINGHAM 1 StateFMAj Zip 102043 1 country Land Info - .. - -- - - ----_- --- _. . ... .... Acres F1.10 J Use Single Fam MDL-01 ZoningRF Nghbd,0109 _____-__..-.. ,. Topography_Below Street 1 Road ,Paved Utilities jPublic Water,Gas,Septic Location Construction Info Building 1 of 1 Year RoofIG Ext 1987 , .Gable/Hip � Wood Shingle I .,.. _..�- Built Struct Wall nr,zooi: Living Roof. AC;-� - -- Area 2298 Cover lAsph/F GIs/Cmp Type INone ; Style Cod 1 Wall Plastered Rooms Bedrooms 4"; m , Int, _ - Bath -_ �� Model Residential m( lHardwood 13 Full eAQiV: Floor Rooms Heat, Total= mac' U Grade Average Plus Type IHot Water ' Rooms 19 Rooms ( uAT, GARx.' Heat Found- Stories 11.3 Fuel Mixed ation Poured Conc. Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=615 7/22/2013 Y-5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner owner's Name information is required for every Cotuit ' ` MA 02635 6-7-13 page. Cityfrown State Zip Code Date of Inspection t 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 forms A. General"lnformationOF p�talauuurri,, on the computer, , 7q3S `````` '�� as s use only the tab � � �� •,.....•,•••��' �� 1. Inspector: =_:' • y key to move your JA M E S •'•N s cursor-do not James D.Sears _ use the return Name of Inspector 'O' QCADS key. CapewideEnterprises,LLC Company Name NSp� 153 Commercial St. Company Address Mashpee, MA 02649 Cityrrown State Zip Code 508-477-8877 S-1623 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 6-15-13 ,ffigpectofs 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. 113 t5ins-3113 Title 5 Official Inspection bsurtaos Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) 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: Conn. pass D. Box need to replace. Ground cover over H-10 tank 4-6'below grade. 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","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:Subsurraoe Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. City/Town 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): need to replace D Box. ❑ 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 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �< 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 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 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. 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 is less than 6"below invert or available volume is less than %day flow A44 CIIIA/t- . t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f Commonwealth of Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) 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 16,000 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 11 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. City/Town 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): NA Number of bedrooms(actual): 6 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 660 1 t5ins•3113 Title 5 Official Inspection Fmm:Subsurface Sewage Disposal System-Page 6 of 17 I I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Citylrown State Zip Code Date of Inspection D. System Information Description: The system is a 1500 gal.tank d box and eight flows. II Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage 2011-103,000Gal g ( y g (gPd))' 2012-112,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date 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 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail.Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): i General Information Pumping Records: Source of information: 08/ 10/ 12 Capewide Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/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): t5ins•3113 Title 5 Official tnspedon Form.Subswfaos Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Cityrrown State Zip Code Date of Inspedion D. System Information (cont.) Approximate age of all components, date installed.(if known)and source of information: 1987 Permit#86- 112 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): •Depth below grade: 5'-4"feet Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting,evidence of leakage, etc:): Pipeing is 4"PVC SCH 40 Septic Tank(locate on site plan): 4' 611 Depth below grade: y P 9 e 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 Gal. Precast Sludge depth: 1" t5ins•3113 Title 5 Official Inspection Form:Subsurhm Sewage Disposal System-Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner owner's Name information is required for every Cotuit MA 02635 6-7-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cunt) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0" Distance from top of scum to top of outlet tee or baffle 12" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Tape Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tank at working level. inlet tee,out let baffle. inlet cover at 18". Outlet cover at 4'. Note: H-10 tank, tank at 4'-6"below grade. No sign of leakage or over loading. 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: Dace t5irts•3113 Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Ins pection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owners Name information is required for every Cotuit MA 02635 6-7-13 page. Citylrown State Zip Code Date of Inspection D. System Information (cunt.) 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: El concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm resent: Yes No P ❑ ❑ 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•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form 9 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments' 40 Topsail Circle Property Address Maria Mucci Owner owner's Name information is required for every Cotuit MA 02635 6-7-13 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 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16"-5' below grade w/one line out, walls gone on box. Need to replace D Box. 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: t5ins•3/13 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Cityf town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number. ® leaching chambers number: 8 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): _ Leaching is eight flow's. Flows are 46"below grade. Flows are clean and dry. No sign of over loading or solid carry over. 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 Tide 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 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. City/Town 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.): t6ins-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 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Cityrrown 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 13`/= 15 o A-3 - 33� 03 i S 9 t5ins-3H 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments F 40 Topsail Circle Property Address Maria Mucci Owner Owner's Name information is required for every Cotuit MA 02635 6-7-13 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar Shallow wells D Estimated depth t high ground water: 9+1 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: Did T.H.9'below grade no G.K. Bottom of flows at 64".. Bottom of flows at 3'-8"above T.H. Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3113 Title 6 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Topsail Circle Property Address Maria Mucci Owner Owners Name information is required for every Cotuit MA 02635 6-7-13 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Titt 5 Of ial Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Health Master Detail Page 1 of 1 < ' 1 M >t We Parcel - p -ri F� � N Parcel: 018-096-004 Location: 40 TOPSAIL CIRCLE, COTU T Owner: ELLIOT, ANITA M TR ET AL Business name: _ _. _ . ,._ .. _.. _. _. .__ Business phone: _. Rental property: Deed restricted: 17� Number of bedrooms Contaminant released: Fuel storage tank permit: Save Parcel Changes g Return to Lookup Parcel Info Parcel ID: 01.8-096-004 Developer lot:l...GT 4 Location:40 OPSAIL CIRCLE _f Primary frontage: Secondary road: Secondary frontage: Village:CO!UI l \ Fire district:CG..I.U1..f.. Sewer acct: t. y Road index 2 12 7 CW4 �_.. Asbuilt Septic Scan: 018096004_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: ELLIGi, ANI FA M ..f..R E..F AL Co-Owner:C/O MUCCI, MARIA Streetl:9 LANTERN LN Street2: City: HINGHAM (77-8), �� State:MA Zip: 02043 Countr Deed date: 12/21/2001 IV Deed reference: 19366 114 Land Infra Acres: 1.-10 Use: Single Farm MDL.-01 Zoning: RF Neighborhood: 0111 Topography:Below Street Road: Paved Utilities: Public VVater,Gas,Septic Location: Construction Info Nloj`'.'.a.- ..7t.-tiv An 7) (dr`,7IOM B n3-'ico" > 1 11987 3375 6 Bedroom 3 Full Buildings value:�310,300.00 Extra features: $48,600.00 Land value: �403,800.00 http://issgl/Intranet/healthMaster/HealthMasterDetail.aspx?ID=018096004 7/23/2008 I ' Town of Barnstable ' B a It,I& IME , Regulatory Services Thomas F. Geiler, Director I-Am rk,,aV..' " Public Health Division 9 BARNSTABLE, SS. �* Thomas McKean, Director MA a 163 200 OjEp �A 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 23, 2008 Anita Elliot 9 Lantern Lane Hingham, MA 02043 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 40 Topsail Circle, Cotuit. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2008 fees included. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have an questions, lease feel free to call 508-862-4644. Thank you in Y Yq � P advance for your cooperation. Timothy B. O'Connell Health Inspector Health Division Direct#508-862-4646 I_ Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 1 of 4 II NL 1N GMAC- I Home » Property List>a Property Omers>) -Gape Coca>> • Links>) •Homes for Sale>s OROVER `a bvi Vacation Rentals Property Search >> Office Locations t> Policies >) About>> Contact» eNew>) 1: hid Property Details TMUCC 40 Topsail Circle, Barnstable-Cotuit 6 bedroom home, close to Loop Beach in Cotuit. BEDS:Level 1: BD#1 - 1 Queen, BD#2 - 1 Queen, BD#3 - 1 Queen, Lower Level: BD#4 - 1 Double, BD#5 - 2 Sets of, BD#6 - 1 Double. GUESTS BEDS BEDROOMS BATHS RATES 3 Queen Bed(s) -� 14 2 Double/Full Bed(s) 6 3 3,000/wee 4 Single/Twin Bed(s) send inquiry >] Calendar jJuly, 2008 Reserve Online Now July 2008 August 2008 Reserving online is fast, easy, and S M T W T F S IS M T W T I F S secure..The calendar on the left shows. 291301 1 1 2 3 4 5 127 28 21 30 31 1 2 the days that this property is currently 6 7 8 9 10 11 12 - available as blue on white, and days that 3 4 5 6 7 8 9 are not available as gray. To make a 13 14 15 16 17 18 19 10 11 12 13 14 15 16 reservation for this property now, select 20 21 22 23 24 25 26 17 18 19 20 21 22 23 an available arrival date for the first 27 28 29 30 31 1 2 I 124 25 26 27 28 29 30 night of your stay by clicking on the 3 4 5 6 7 8 9 31 1 2 3 4 5 6 calendar on the left. � PLEASE NOTE:All properties are available Saturday to Saturday with a 7 First Night Last Night night minimum unless otherwised noted. Town Barnstable-Cotuit Pictures http://www.vacationcapecod.con/viewproperty.aspx?PropertyID=10033 7/23/2008 ' Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 2 of 4 3 + _ � - } �, L �h fir' y T•' -. '1�� r s mow.. If �&4 (click picture to enlarge) (click picture to enlarge) ~ S - a s r (click picture to enlarge) (click picture to enlarge) i,. 1 w (click picture to enlarge) (click picture to enlarge) http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=10033 7/23/2008 Cape Cod Vacation Rentals— Kinlin Grover GMAC - Property Page Page 3 of 4 i, mull 1 i k i MA 4. (click picture to enlarge) (click picture to enlarge) 1 . (click picture to enlarge) (click picture to enlarge) rTTF e„ (click picture to enlarge) (click picture to enlarge) http://www.vacationcapecod.con/viewproperty.aspx?PropertyID=10033 7/23/2008 Cape Cod Vacation Rentals—Kinlin Grover GMAC - Property Page Page 4 of 4 A f r ' V I (click picture to enlarge) Amenities Business Entertainment Outdoor Convenience • Answering Machine • VCR • Outdoor Furniture • Sheets&Towels Living • Radio • Grill(Gas) • Linens Provided • Heat • Stereo • Outdoor Shower(Warm) • Clothes Washer • Color TV • Beach Chairs • Dryer • Fireplace • Cable Channels • Deck • Vacuum • ceiling fans • DVD Player • Garage • Cleaning Supplies • standard stairs Kitchen • Beach Pass • Iron(Clothing) • Iron Board • Dish Washer • Toaster Oven • Microwave • Electric Coffee Pot •" Lobster Pot • washer and dryer COPYRIGHT 2004 GMAC HOME SERVICES •: LEGAL .. PRIVACY ASSOCIATES ONLY EQUAL HOUSING OPPORTUNITY -� Information Policy Site Usage Agreement © 1999-2007 Escapia, Inc. Kinlin Grover GMAC Vacation Rentals is powered by Escapia Vacation Rental Software I ClearStay Vacation Rentals Ib Barnstable Vacation Rentals I Centerville Vacation Rentals I Cotuit Vacation Rentals I Cummaquid Vacation Rentals Hyannis Vacation Rentals I Hyannisport Vacation Rentals I Marstons Mills Vacation Rentals I Osterville Vacation Rentals I Cataumet Vacation Rentals I Grey Gables Monument Beach Vacation Rentals I Pocasset Vacation Rentals I Brewster Vacation Rentals I Ocean Edge Resort Vacation Rentals I Chatham Vacation Rentals I Dennis Vacation Rentals I Eastham Vacation Rentals I Falmouth Vacation Rentals I E. Falmouth Vacation Rentals Falmouth Hts Vacation Rentals I N. Falmouth Vacation Rentals I Teaticket Vacation Rentals I W. Falmouth Vacation Rentals I Woods Hole Vacation Rentals I Harwich Vacation Rentals I The Belmont Vacation Rentals I Mashpee Vacation Rentals I New Seabury Vacation Rentals I Popponesset Vacation Rentals I S. Mashpee Vacation Rentals I Orleans Vacation Rentals I Provincetown Vacation Rentals I Sandwich Vacation Rentals I Wellfleet Vacation Rentals I Yarmouth Vacation Rentals I Truro Vacation Rentals Disclaimer: All information deemed reliable but not guaranteed.All properties are subject to prior sale or rental,change or withdrawal.Listing broker(s)and information provider(s)shall not be responsible for any typographical errors, misinformation,or misprints and shall be held totally harmless. http://www.vacationcapecod.com/viewproperty.aspx?PropertyID=10033 7/23/2008 ', i t v _,y i:1 r 1-1 1 j 1 , t h�, r f U. �r r ,,' !, w r t ' t , L - '' J f1�d �' 1, � - r 1J 1 .; p ' ' 1 5 1 4i." r / ,L 1 i f �, t 5 - 1 ) M1 t i., t u.. { .t t ,rr , ] r x?` v t h ♦ . - .r "4 J ,s C- { .11 '�S r e,, - J-. j t 1 1 I [ Lr' Yr '` lw G t� 1'., M1 J 1 April,, 7, 1987 T &� ` �l I M ryII c " r 1'', I ti Q 1 ' 0. i - , , -� l.' - -- ly— �� J', �! Pt -� C e, µ r i , a• "Yri '-.J ,' .'d art .,r" of ,, +-r :� < l < r a c l fap'e and Islands Surveying,, d s` + `• , , 1. 131 N nn Speing-`B.iro Rand i -�j. .� , �,. ..Fa mouth Iola, 42'S40 r1 v , e L :k 1 'Y .� k 4 71 ,, t yid, , Fi 't1 r1.I } 3 , :c!' RE Septic inspection,`Lot r4; Topsail Circie, Cotuit, 14a v , r° l } � I ` i '1. 'i. r.l -•J 4y ,a t. IO r V r 4M" 4 {, 4 Dear DI Bertland and air Sanicki: 'Y , ' -� , x rYi: ti I r > r — . t , ` You -recently] Seth us 4,i Memo, st�+ting _t�►at the�refef��rc�- spec.tic system- was _� , r {` >installed in substantial compliance with the plan; " I , Pie ase -do not use thls termirdology in the fn4ure, If she -ply, vas not strictiy r 'Zd, ` 4 ti adhered . to, state •the discrepancy and, fugtb�r y'Otaf iC'�rz}signif � ,— or ;, °.'r_, la►sign ficance, in>relatfon to title 5^apd,,it s ope'r' , on' ,F V. } 1 tr �� ,a ' c ry , t Y In addition,all s�fcfi� Certification`s niu Jbe-starr`aped by a professiopal engineer.' ;. J , �i J - / ' h L - , Very teuly yours, � "' u , it y.- _ _ -� , t y �.f - i r.+, H .. R . John.-M. &belly e 1 ; � _�.' r,� "r ;` G r .. ' Director d, ^ 4 1- ' r z d I BOard.'O Hal¢h a ;` Town of I3atnBtnble b � _ ., ` ' t , -• rY+ x �fir{ •I. Q*f ,�V ,x r 4,' CI+•i t�/68 1 1 r� 1 'Y F C. ' 1, ,q, ,, ' i l` .I 1 c('., r .. t, D:' _ ,, hti I i h 1 ( x -t} ,-A ' ryy ',, )C r,•-� '� e t P v ' , '' r �• '+ 1,+.• -L 1-! i ;, t 'e' + i I a. r` d' i r• ,: f, o ti y K ' ',J.� 1' 'i-5 - • r - •% kC- o r a f ` r x, r i r t e' ,f?t '� ti e r 1 .� 1 r .. r ' + " 1 H s- r c " _ l v 1 1 rti o- r 'I1 , °L a , h I- > 'v r - , it,.h,� ,1 1 N 4 .',i,U 1 f � .b ,� Frr r Y L . �. .�)� ", , 1.: r r..� ♦ v c.. -a t L'' .,, , ni- 1, r- . 7 i iii, 1 l y' 1 t' - + L - "- ' .I i ' _yi" I . y ,9 ,. ,, ;a ,� 11 F 4 , A , L ~1 .. - +- ! -' f'-. s-. ,4 CAPE & ISLANDS SURVEYING CO., INC. 131 Spring Bars Road Falmouth, Massachusetts 02540 617-548-5486 April 21, 1987 Town of Barnstable Board of Health Dept. Main Street Hyannis, MA 02601 RE: McShane Construction Co. , Lot 4 Topsail Circle, Cotuit-Barnstable, MA Gentlemen: The sewage disposal system for the subject location has been installed in substantial compliance with the plan dated January 30 7. VtH OF Mqs� Sincerel y�FA RICHARD Mr Richard .o a °gratfd RJB/cma QMAL)k�; cc: McShane Construction >> ` y Francisco Tavares Inc. (q ' � V f i i CAPE & ISLANDS SURVEYING CO., INC. 131 Spring Bars Road Falmouth, Massachusetts 02540 617-548-5486 April 21, 1987 Town of Barnstable Board of Health Dept. Main Street Hyannis, MA 02601 RE: McShane Construction Co. , Lot 4 Topsail Circle, Cotuit-Barnstable, MA Gentlemen: The sewage disposal system for the subject location has been installed in substantial compliance with the plan dated January 30 87. Sincerel %kA, �F M9s�9 RI CHARD �y Richard ,o e tra�fd RJB/cma MALO CC: McShane Construction Francisco Tavares Inc. 6? 'j^ ` V i 1. 14 - 0 /9 - L 96 TOWN OF BARNSTABLE LOCA i ON LO-t q TO i©-S&LA SEWAGE # 1?6 "' 1/ z- VILLAGE eo ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 'T � 'o Z�f SEPTIC TANK CAPACITY IS lA lV- LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER MCS Haves ° la). DATE PERMIT ISSUED: /Q DATE , COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �.r ,� �a �, .,_.�,,.,�.,,�-�- i s � � � � crs �N ?� N � N �1, � � �f w^/w i" �� MES&�,R'S MAR NO DARCEL NO.: 2 FEE tj, .......... THE COMMONWEALTH OF MASSACHUSETTS AEZD 0-F-HEALTH -----T.5. .---....OF' ........... ......... ............................................ .......... Appliration for Bi-sposal Workii Tomitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .......... Y ......... ................... cation-Address o Lot ................................................... ........ mle............................. ..V Owner Address ..................................... ------------- ................................................... Installer Address Type of Building Size Lot...... Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( a Other—Type of Building _--------_-------------- No. of.persons............................ Showers —,qafeteria ( Otherfixture ......................................................................... .......Iivr&---------- ....................... � e ........�.,. ------iio .... I_........gallons. O! —----- Design Flow_.' a ns per person per day. Total daily flow 1:4 Septic Tank—Liquid capacity __gallons Length................ Width-__-___-_______- Diameter________-___-___ Depth................ W Disposal Trench—NTo. ......./...........X 7— �41 idth........�.c....... Total Length.....2j?../..... Total leaching area_...A------sq. f t. Seepage Pit No.'-!.;..-�, ----- . :,;�----i�� below inlet.................... Total leaching area..................sq. f t. Do Z Other Distribution n���sing tank Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..__.................__. (T Test Pit No. 2................minutes per inch Depth of Test Pit................_... Depth to ground water._....____.._......_____ - --------- -- IED 10 ..... .................. 160-------------- ------------------- --------*---------------------------', _ i D rz� ezu rwng7e .... 0 Description of Soil---- . .................. ............................................... ...... ----------------------------------------*------ ----------------------------- ---------------------*------- -------------------*--------*----------------------------------- ................................................................................................................D-ESIGNlt4G--El-qGINEE-q--MiUS-T--SUpERVISt------- U Nature of Repairs or Alterations—Answer when applicable.__--- T- ALLAI T- 40ff-AND--0ERTtFY--tN--WRITJW-------- ...............................................................................................................T14 E_SY-STE M--WAS--1 NGTALLED-fN,-STRICt....... Agreement: r ACCORDANCE TO PLAN. The undersigned agrees to install the aforedescribed Individual age Disposal System in accordance with the provisions of'T"_E 5 of the State Sanitary Code,�Vhe t;adersigned further agrees not to place the em in operation until a Certificate of Compliance has been i,,- d by thbb and of, health. Signed.. . ..... .......... ...... ............. .................................. Y5 Date ApplicationApproved ................... .......A................................................ ................. ........................................ Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......... —-------- Issued-....................................................... Date 0 ' No . ....11.�.2 FEB ............... THE COMMONWEALTH OF MASSACHUSETTS �.... _-BOARD OF HEALTH .--....OF........... �� .....�,...a Applirtt#ion for Disposal Works Tonotrnrtiun Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........... ....(fl ---------- .................... ....... ......................................................... ( o Lot No. Location-Address ....................•...._.........--•---•-------••- ----...,�, '�o.1.7.................C / . ................................ Ow r ddress . n5d� .................................................... Installer Address (�' Type of Building J' Size Lot.V7_�?___Z.....Sq. feet 1-, Dwelling—No. of Bedrooms............. ............................Expansion Attic ( ) Garbage Grinder Other—Type T e of Building No. of persons............................ Showers Q0.1 YP g --------------------------••-•------------. --�- ( ) — Cafeteria ( ) I Other, fixture -•-- p— •---- -----•---•••--------------------•-----------------------••-• ................... r W Design Flow.................... . 13 o0-__gallons per person per day. Total daily flow.......... ._ .........gallons. 1:4 Septic Tank—Liquid capacity; s..gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No..................... idth.................... Total Length.................... Total leaching area....................sq. ft. See Pit No. __ G �'Seepage .................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------.................. -- - :••--------------------------------------------------------------•---•----------------•---------------- " Description of Soil...... �_,____j.J N1.__:_-" . ._._.._� .. x ---- Q- V ............................---..............................................................................................................................-•-- W VNature of Repairs or Alterations—Answer when applicable.............................................................................................__. .............................................-.......................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual age Disposal System in accordance with the provisions of TT" : ;of the State Sanitary Cod The ersigned further agrees not to place the sy em in operation until a Certificate of Compliance has been i d by t and of health. Signed-- '--•--. �"�.� f'� .".•� ... Date Application Approved PP PP �=........................................... ............................•-.._...-•-•_.... ....................................... Date Application Disapproved for the following reasons:. -----------------------------•-------•--------------------------------•--•-••------------......----------•--------•----•-------•---••-••-•••••••-••----------•--•--•---•----------•-•-••--••-------•---- Date PermitNo....................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS < -------BOARD OF HEALTH i .,.r i 1 OF c.l `� . C�rr�if irtt#r of f�unt�rlittnrr THIS S TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( } by------- tea U CJ--------..F..............•-----------...-•-------•-•--------•----•--•-......---•----------------....---------.......-•------- Installer at............. ....... -%---•---------------` �---•-------•---------------•-------•------------------•-----------. has been installed in accordan e with the provisions of T1!1Z_ j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No z=x� .___d_/I__�"...... dated-------/_��G';�___���' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL 'FUNCTION SATISFACTORY. DATE.................'� - �X.. ....................... Inspector........... � ..................... OC�!_ THE COMMONWEALTH OF MASSACHUSETTS l� BOARD OF HEALTH O..................._.. . FEE........................ Ropoottl a Works�—T�,ngstr uan rrnttt Permission is eby granted.. !.lie-•- F 4-..;�"' ----------------•--..._......---------•----.......---------.................... to Construc ) or Repair ( ) an Indyvi a1_S.Wage Disposal System at No Street t as, non the application for Disposal Works Construction Permit N�or Board of Health DATE-----• ` '' ................. ,{{ FORM 1255 HOBBS & WARREN. INC., PU �LISHERS l t: S YS TEM PROFILE NOT TO SCALE TOP FD . FINISH GRADE OVER FINISH GRADE EL . �/.�" FINISH GRADE o,o FINISH GRADE OVER DIST. BOX s.o OVER R NCH S =' SEPTIC TANK 7 =' °d'p: o.o•D o e': `_ p VARIES OD a,• •1. ., .. .'.d:•4•.D,�:4':'Q,o'C• po•0'p'd.4p!.d '°. •' a .a :. a 'o..'. o....o.:•'b'. 0 . ,G....o.. j.,D;a. .o.o, •e..e.a e'. b•'.e' e0 70 , ° TOTAL LENGTH OF TRENCH OUTLET PIPE LEVEL .1_s l a FOR 2 FT. MIN. C 4 i1 — 1 y o •°:o.o osi • 'o..'• o.. ...q.., .:e . •.D..:.. .•o'. :d• '.'b` •' , oo• vb? °o O O a p c• :.•c ,•. Q � s: "o::e:. •:b`:°:Q � . 0'0 Q .'ri... .:.:9' Or, c, :e'. �A� 3/_ 7$r 9: �o J' !. 3 7 �'• v. lay `.e C. I. OR PVC TEES c� �� s© 3 r, 20 r.�':j c� 0 L� O O O o e"a$ E."_Roo o:•o G p .p D: pp.�p. ea % :0.0.D6 0 °C: M1? a: / ,�0 0 GALLON DI S TRIBU TION BOX v,,a - •u � � �-�, ,, , �,�,-� , � 90 INSTALL ON LEVEL BASE FL Oh/ DIFFUSORS , T PRECAST CONCRETE oa H— /O REINFORCED o. G p.. D •do:o.�.v,:bo•.O'a''A'? ' b.:O.•:.:Ct•p';p. �.. DVC;O•is'Q'e'° °4'Y+'. �_—_____. -.____ ., ..v.s. •'o•v.. .o'o•.p.v.9' .• ? .D.•a::e.o•:4.�•D:..oa:6 .'.Q.a...b..4. TRENCH SECTION SEPTIC TANK R r s INSTALL ON LEVEL BASE NO TE: EXCA VA TE TO EL EV V. 2=" %''OR - LOWER TO REMOVE ALL IMPERVIOUS MA TERIA L BENEA TH THE L EA CHING AREA 4" DrAM, = �; " REPL A CE EXCA VA TED MA TERIAL WI TH 3" OF 1/B"-1/2" b'•• ..•',d0�O1 0 0�.•0•0 . 0.. °. �i.ip �°t�c CLEAN, CLAY FREE SAND � :•o, �.�.o•v oo� WASHED PEASTONE .. 314 " - 1-1/2" WASHED •' �" �°�.• s\" -- CRUSHED STONE °$, = _Q. o e. GENERAL NOTES TRENCH WID TH 1. ALL EL EVA TIONS SHOWN ARE BASED ON NUMBER OF TRENCHES 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON NUMBER OF DIFFUSORS OR SCHEDULE 40 PVC. 08�''�' L7 VA T 7OA/ PI T 3. THE BOARD OF HEAL TH MUST BE NOTIFIED -� WHEN CONSTRUCTION IS COMPLETE PRIOR TO BACKFILLING PERCOL A TION RA TE:99 • -,� 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 2• MIN./IN. ` . \ BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WITNESSED BY.• ' SURVEYING CO.. INC.* 7; /�? A4 5. MATERIALS AND INSTALLATION SHALL BE IN ,,� ,, r. , BRO. OF HEALTH DESIGN DA TA r COMPLIANCE WITH THE S TA TE SANITARY CODE - TITLE V - AND LOCAL APPLICABLE DATE.' = RULES AND REGULA TIONS 3 o S 6. NORTH ARROW IS FROM RECORD PLANS AND NUMBER OF BEDROOMS 1500 GALLON r GARBAGE DISPOSAL PRECAST CONCRETE IS NOT TO BE USED FOR SOLAR PURPOSES -5 ; sso GAL . TANK 7. FL DOD HAZARD ZONE C 24o __._,..,_,_____ DA IL Y FLOW B. WA TER SUPPL Y Tow , , - SEPTIC TANK REO 'D. - " 4-, GAL . SEPTIC TANK PROVIDED GAL . " FLOM DIFFUSORS IN SERIES LEA CHING REQUIRED s - GPD. B _ o SURROUNDED BY 3'-0' OF STONE s � r.i r_t ? . SIDEWALL AREA - S. F. S. F. X G/S.F. _ moo GPO. 2c7 BOTTOM AREA %' S.F. LEGEND 7ca oS. F. X G/f S. F. = cGPD �` ; _Q / to u LEACHING PROVIDED ! �' GPD PROPOSED EL EVA TION EXISTING CONTOUR SINGLE FA MIL Y RESIDENCE 6 OBSERVATION PIT D DISTRIBUTION BOX PROPOSED SEWAGE DISPOSAL S YS TEM FLOW JAMES PREPARED FOR No. 21894 Fo--o-1 SEPTIC TANK � �+r.. � .._.r, . A1C SHA NE CONSTRUCTION CO . =.=i RESERVE AREA ° tM ���►�,. LOT 4 TOPSAIL CIRCL E may. DAVID BARNS TABL E CO TUI T MASS. PIPE INVERT ELEVA TION SA'MCKI � CAPE 6 ISLANDS SURVEYING, INC. PLOT PLAN - ,F -M- SCALE A S NO TED P. 0. DOX 334 t SCALE.• 1 PLAN NO. ' - MAP SEC PCL LOT HSE -- TEA TICKET MASS. . i .3 0 Cotult, MA I .) Assessor's Map 16 Parcel 9G/004 LOCATIONS OF UNDERGROUND UTILITIES ARE APPROXIMATE AND CONTRACTOR SHALL BE 2.) Deed Book 193GG Page 1 14 RESPONSIBLE FOR DETERMINING THE EXACT LOCATION OF ALL UNDERGROUND AND OVERHEAD sne1� Ln 3.) Plan Book 4 17 Page 42 UTILITIES PRIOR TO COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER Found 10 4.) This property is not in a Zone II DEPARTMENT. CB/DH� L �, Hull Rd Water Protection Zone. 0 5 .) Flood Zone: X500 (500 Yr Flood) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE 3 Keela Rd AE ( 1 00 Year Flood) USED FOR STAKING, OR ANY OTHER PURPOSES. 141 O Fine Ridge Rd N �� 11 ��o Zone Reference h I 0 0, Zone: RF Ism° Min Area: 43,5GO 5F l Oak5t m Min. Frontage: 150' Setbacks 138 I 1 14.2 / > Front: 30' " Q I o�356 4 / Q Side: 15 N6��9 �9 * To sail C1r Q Rear: 1 5' 14.1% one R / / 13.9 13.7 Exlstmg Septic System / SITE LOCUS / Area (per Reocrd As-Built) / 16 LOCUS 4 7 ► / i 14.7 NOT TO SCALE \ 18 \ oxo i \ 1 5.5 _ 3.7 4.2 Gate - - - - - - - - -- - %/ 20 i 9.0 / / e 13.9 / / // v 0 a AI 0�� 12 s �9.7 / Vv 0 2- 2.2 House#40 / Gravel D/W 0\61• 9.5 . �\ \Q Top of Foundation � 12.2 2.5 \6 13.0 EL=20.8± // 201 Gate � . Slab EL = 12.7± / 20.1 10 2 � - - - - � I z�.2 ZG„E � � 12.0 N���Z� 0 \ Deck Gar. Slab / - - - - - -22 38.3 \ 2 \ EL = 20.3 I \\ Pro osed o 9 f \21.3 F of 120.3 Found 23.0 CB/DH O 8 \ �I �� k / 21.7 � \\ 1 � 1 (D 19.7 1 / � 3� C 23 7 \ 10.2 I �Q / / d �. / / I - � _24.z ,20 49„w z \ Lot 4 \ Proposed 2.8 ��� 4.6 / \ Fatlo / BENC1IVAAKK / / 2 6 . 10 Acres 1 10.7 / To i of Con rete Fo / \ �� 1 rop0 ed gip// EL= I I .8 Assume at(Jm) 4j2 10.5 / re �o `Oo � 23.1 O? AO V / / v 23.4 OL N�63�p7 s 25 I I // / I .4 � �' m N / W - Found / I / 20 I s z I.P. with Cap / r / / Drainage 1 10 / 1 Easement / 3 1 G.37' 12 4 Ft. Fence I G 18 / 5 88°07'1 1" E 40' 0 8 Lot 5 Site Plan for Proposed Pool 40 Topsall Crcle Cotult, MA Prepared for: Brian * Chn5tine Zlmbler 40 Topsall Crcle Cotult, MA Prepared by: A * M Laid 5 es , Sulte 3 0 20 40 GO West Yarmoith, MA 02G73 mmmq Ph. (50(5) 827- 17 18 Email: anmland@Comca5t.net SCALE I "=20' Date: 1 210211 3 Scale: As Shown By:MLCA Check: ME Pre ect No. 1 375