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HomeMy WebLinkAbout0075 BETTY'S POND ROAD - Health 75 BETTY'S POND ROAD, HYANNIS A=029-109 II� 1 I i No. ao4 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Misposal Opstem Construction Hermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon(X *ompleteSystem ❑Individual Components Location Address or Lot No. 7 S i�eTTq s Poo-D PoAb Owner's Name, (d ess,and Tel.No. Assessor's Ma /Parcel HYA001 S NI�R��� It��t t rtRe p a 9 p ®9 d r?5 ae�5 P era 'P-I> Ayi4jpls Installer's Name,Address,and Tel.No. SDS-41 y—S$'77 Designer's Name,Address,and Tel.No. L°�4✓��Z�tnL �JT�,P�dl��$ ' I Type of Building: Dwelling No.of Bedrooms' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building C: I('X)-r l644— 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 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: „ The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si girm Date Application Approved by c Date Application Disapproved by Date for the following reasons Permit No. w 17 Date Issued ,$-- �� 7 r t 0. " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: .1✓ r ' Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal *pstem Coftstrurtion permit /pplication for a Permit to Construct Re air U rade Abandod*' Com lete S stem IndividualComponents( ) Repair( ) Upgrade( ) ( '� P Y ❑ r Location Address or Lot No. 11, BeT4S POND Rpyg�) Owner's Name,Address,and Tel.No. Hec4k—I Assessors Map/Parcel Q 0 9 0 HY A0 0 S 175 aL`1` s P a -P-b AYANkjls Installer's Name,Address,and Tel.No. 549S-411-$$7 7 Designer's Name,Address,and Tel.No. d Aso 11)L ��i 1rc�CPk�S�S ohs r{Pt:f5' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R c-S!o�--LIT( No.of Persons Showers( Cafeteria( ) ✓ Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date r ,Title Size of Septic Tank o: Type of S.A.S. Description of Soil ;I Nature of Repairs or Alterations(Answer when applicable) Sys(t r Date last inspected: _ ri- Agreement: - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si eti ' Date S�-3U-a013 .._.___ Application Approved by C, Date o / Application Disapproved by Date € for the following reasons" 1' 4 Permit No.i` # Date Issbed 5"���e 3 9 ` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of (Compliance , THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned(X)by���4Pc�vc � �E�' L(�_ at rj f�ic-777�f /)oA-b MjL)j)I C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2 o -M h dated�-�t ro ^? 1 - Installer 1. AVEGeAN_-- &awglosf 4otc— Designer #bedrooms N) Approved de ' n flow I V j The issuance of this permit shall n b nstrued as a guarantee that the system Wctn (x d i�ecDateInspectorG( � fAT No. 2-d 13 — l I° Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS .Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Re air( ) TT Upgrade( ) Abandon(x) System located at STr.y&O Hy yr41jo 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 S Approved by -� G AsBuilt Page 1 of 1 y�cv- ----7 TOWNr6FBAR7NSTABLE 6CAA,, — `f I U E LOCATION ( '`'°� �1 �D 1�7 SEWAGE# VILLAGEJ:�((J&J1.115 ASSESSOR'S MAP&LOT O� INSTALLER'S NAME&PHONE NO. 6 I O. C.utlll_-��t 771. � SEPTIC TANK CAPACrrY _ 1700 6 A( LEACHING FACILrrY: ( Z� type) 1(G (size) NO.OF BEDROOMS BUILDER OR 0Z 1 M 1�PERMITDATE: 0� COMPLIANCE DATE: 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) AJ A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300�fqqt'of�leaching fa���1� Z Feet Furnished by l . A-5-1776 $- 1- 31 1�06 2- -y- Lv1 T-� - 171 , :9-7 ZA ,C-S- 7S TIT.-P http://issgl2/intranet/propdata/prebuilt.aspx?mappar=290090&seq=1 5/30/2013 J- y� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information �qa/ forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return Key. Capewide Enterprises,LLC. Company Name Q P.O.Box 763 Company Address Centerville Ma. 02632 ' City/Town State Zip Code (508)428-4028 S14454 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: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4/9/2010 In a or's Sign re 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 reg onals.offic of the DEP. The original should be sent to the system owner and copies sent3--to-th°embuyer;uif applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.T is ipspect'on does-not address how the system will perform in the future under ' ' � cir ,,t..r�, the same or differ6i" ndiiiotis of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Se4Dispos •Page 1 of 17 s r� Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in porper working order at the present time. 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 s Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ 'Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 0 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 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 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 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 El ® 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 Y2 day flow l5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Betty's-Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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•09/08 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 ,^M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every 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? 0 ® 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: The septic system consists of a 1500 gallon tank,1 000gallon pump chamber,D-Box and leaching field. Number of current residents: - 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 4/9/2010 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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/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): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System�Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2000 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 14"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10'+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of leakage.system vented through the leaching field. Septic Tank(locate on site plan): 6" Depth below grade: 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 gallon Sludge depth: 3" t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for H annis Ma. 02601 4/9/2010 y every page. City/Town 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 29" Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 7" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. 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•09/08 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 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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 No Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has two outlet Iaterals.No evidence of solids carryover.No evidence of leakage. 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.): Pump chamber appears structurally sound.Pump floats and alarm are in proper working order. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 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 75 Betty's Pond Rd. r^M Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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: 10'x45'x6" ❑ 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.): Sandy dry soil.No signs of hydraulic failure.Leaching was dry at time of inspection. 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•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every 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.): I t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 I Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel View Custom Map Abutters. Map Size ® ® Zoom Out ,In er k I 1 J d 1 • F fi t 1 q X } 20 Feet K Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER x ' (`nn„rinhf 900r._7010 Tn,•,n of Q-fnhlo KAA All rinhfc roccni, • .. „ii inn ter• rani, / / A.. - .. . TT\ nAAAAAn _._.. _..1. _ _7_ A/A/nAIA Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments o^M 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 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: Bottom of leaching 5' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 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 75 Betty's Pond Rd. Property Address Peter Mandravelis Owner Owner's Name information is required for Hyannis Ma. 02601 4/9/2010 every page. City/Town 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-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BARNSTABLE Z � q7 LOCATION SEWAGE # - VILLAGE ASSESSOR'S MAP & LOT O' INSTALLER'S NAME&PHONE NO.J&)1Ua1AfTX ( 1 _�71, !V? SEPTIC TANK CAPACITY 1 SOQ /A LEACHING FACILITY: (type) (size) 10 NO.OF BEDROOMS BUILDER OR O R I AN to \l PERMITDATE: 1 ao COMPLIANCE DATE:A�4a 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 fact of leaching fa 'ty)_ i rI 1'�z7� Feet Furnished by 031t.j. a ILI -- 's a No. G�✓v 7 `�® FeeSa THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ;I ppricatiou for ;Digo5al *pgtem Con!truction Permit Application for a Permit to Construct( )Repair Upgrade"( )Abandon( ) ,Complete System ❑Individual Components Location Address or Lot No. , -�7-�1 �lM� Owner's Name,Address and Tel.No. �s�'_�'' S Assessor's Map/Parcel cw7'Zti ,4 �' Installer's Name,Address,and Tel.NNoo.) Designer's Name,Address and Tel.No. C7©W) 3s •s� wro d421 .J .a. *w. «-sacs A4ssoe. /"(Z �c ao x u8!® Type of Building: Dwelling )r No.of Bedrooms 3 Lot Size fro Y fie• S -& Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow _33® gallons per day. Calculated daily flow 3; gallons. Plan Date `` 0-/A /� Number of sheets Revision Date Title sc-,,&;AjGg t' Imo,"SA-C. .Oc,-; toe Size of Septic Tank /14-c"o G Type of S.A.S. F/ym ) Description of Soil SECAq 9h'5& " ?P - ®/ � 'Fi4eiv- ca /z—3aA 4dF E Nature of Repairs or Alterations(Answer when applicable) 97-A,07y>e741 gLzrrsT-Vc� Aw.t ndZ" �r^-- . i Date last inspected: Agreement: The undersigned agrees to ensure the cons ion and maintenance of the afore described on-site sewage disposal system 6, in,accordancewith the provisions itle 5 o the En ' onmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee i alth. _ Signed 4f Date f Application Approved by Date e"- Application Disapproved for the following reasons Permit No._ `7® Date Issued t J. ' ¢ l �. No. _/ ! ..._.__ ' =� i' , .,,/� Fee .•" ._ R r THE COMMONWEALTH OF MASSACHUSETTS Enter d in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zipplication for Migpooar *pttem Con!5truction Permit Application for a Permit to Construct( )Repair Upgrade"( )Abandon( ) ,Complete System O Individual Components Location Address or Lot No.�t,S1, . , -77-�tS /��/� Owner's Name,Address and Tel.No. Nkli 5 79spv G.w,veysAN ZTT Assessor's Map/Parcel Aj—EG�A�a 0011C Z94 rt90 t�/ �zzc.7- , M.4 Installer'slN�a1me,Address,and Took T � Designer's Name,Address and Tel.No. �Sd 8� 3,v. —6 � Type of Building: Dwelling X' No.of Bedrooms .3 Lot Size/• Y,4e• sq--4. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures D�sign­Flow 1330 gallons per day. Calculated daily flow 33 gallons. Plan,Date e6 1 Number of sheets Revision Date "lad Title Sl�ascr @FaC'c, Sc=��CtGC �i�pas�C .ec.g R� Size of Septic Tank Type of S.A.S. IC Description of Soil JL—c /b7 9-?,<e& ?P/ - n iz" 44 F/vc, ccA.�e �r'34] S'.fe Tf'L O Z a h� � ' � - y� G.L�io--i/�zc �e►. 'E= 5.�-.f'// Nature of Repairs or Alterations(Answer when applicable) r�Xoq� yAyV ggrrs7-i,V .ric�tl-Cb�c!'ri.�•CiT Date`'last inspected: Ag eement:. The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance_with the provisions pffitle 5 o e En 'ronmental Code and not to place the system in operation until a Certifi- ,i cate of Compliance has bee i ealth. !� Signed 7 11, Date ZZ Application Approved by _ Dater Application/Disapproved for.the following reasons Permit No. 7_Uex) _y7D Date Issued ?�1,&r1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by T/.*t L.A-&IW.4& = at S" s ci 'e, ,tt .tl i has been constructed in accordance with the provisions of Title 5 dd the for Disposal System Conduction Permit No.7,430-4/T0 dated 7' P Installer Designer 411&541'� ::%ra0 �Q The issuance of t 's pe it shal n be onstrued as a guarantee that the s trell�f nct}'on .s designed 0PC Date �, Inspector L l z No. '�Q-�'7J �y7Q --------------------------Fee � �- ©�� THE COMMONWEALTH OF MASSACHUSETTS a 9 v ' PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwiopozar *potem Construction Permit Permission is hereby granted to Construct( )Repair( )U grade( )Abandon( ) Syst m located at jks t5ii and as describe 'n a 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:Cons cti6n must be completed within three years of the date of t 'd p rryut Date: Approved by // TOWN OF BARNSTABLEs LOCATION SEWAGE # VILLAGE `� 11 � ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.—NILIJAM SEPTIC TANK CAPACITY I Soo 61a LEACHING.FACILITY: (type) (size) 11Q�2 n NO. OF BEDROOMS BUILDER OR OWNER I r1c1 LA> `Y11 PERMITDATE: S1 I a COMPLIANCE DATE: 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 I Edge of Wetland and Leaching Facility(If any wetlands exist within 300 of eft of leaching fa 'ry) 11 Z Feet Furnished by I -dt Sl � t h"7 v _J a7r G-. +► y � � tJ f (V fV� 1 1)clTnrinlcnl of IICnllh,Safely, III(I f:1tviroIIIII ell fin I Services Public Health Division e y• -tzD v 167 Milo Slreel,I Iynnnis MA 0260.1 aAnlrBfAl11 P, 1 -. MASS. 39. - °rto Dale Scheduled L�j �f/�.0 'I'inle cc I'll. /O 0 Soil Suitability Assessment fob, Sewage DishosIrd I'clforoled lly:_ �-2iy.{li�/ �/ ��/ ,; /v(, Wihlessed llY U/V/Vq 14 U/2A/V/) Lt)CATION &_C—!PN1,1tAL INI�ORjYtATIdN Locnlion Address e {J Owncr's Nione �l' ( ' G� address ;7.� ;?>.t1%/S leTvt, Assessor's MLlp/l'nrccl: ` (�, ® � I:nghlccr'sWine i C's C A) NI:\V CONSTRUCTION REPAIR 1-nnd Use �F&S"k�e v i l,- Slupcs(°o) ` S— c`3 Surfnce Stones /I/ U Dislilnces llonl: Opco Water Ilndy ' / Ju It Possible Wet Alen E Q n Drhtkhtg Wnler \Veil fl DmIlInge\Vny 7 Z S It Ihnpc{ly Line > /J 11 .Qlhcr- �<J/ 16 - Il S K ETC11: picel name,dinlcnslons of In[,cxncl Iocilllons-Of ICS1 hales h.perc tests,locnle wctlnnds in proximity it,boles) C��� 1 , Iu 1 � C F1 __ 0 \'areal mnicrinl(gcnlogic) eaS7/J/3 r✓° Jvf vvAd u ' vq/NDcplh to lieJrock �U0 Dcpih to Gruundwn(cr: Sinnding Witter In IJoic: /�z w \Vccphlg from I'll hncc y o lisilnlntcd Scilsonnl I Ugh(irmnld%vnlcr ' i1 S i .-, v'L] 3' / '/r=' /3y vt-S G S` /vw I . . .. J DETERMIN TInN 10HIS1 SnNAL IIIGIT 'V hiclhod bscd: 1456.5 17epl11 Observed sinldhlg ht obs.hole: in. Depth to soil mollles: Deplil to weeping floor side of obs.hole: In.' Clom{dwnlcr Adjuslmcnt 1, pj� Il. 3 Index \Vcll 11 Z I(nnding Dille: Index\Yell Ievcl. _�a,_a_ Atli.faclor„ _ Adi.Oroundwatcr Level -- I'Ii�Ll COLh'1'ION,i,cS,I. Observalion I lole 11 Time of 9" 3 /S Uclitll of I'crc wu"r" 3�`-�/Z 1'lole ill 6" 3- SG� Slnrt Vic-sonk Timc n I'Imc(9"-V) O 3 S Hod I'rc-soak 70,t z: Lj O RnleMhl./bleb � Z Sile.Sullnbllity Asscssmulli Site Pnsscd ye Site palled: AddhlonnlTelling Nccdcd(\'RJ) nrlgiloll: Public IIcn1111 Dlvlsloo Ohservndoo Hole Daln To Ile Colnl)Icled on Bach j Copy: Appllcnnt e ..4, 1)lil�,l' U135i,1tti!!1 I'YOCV I)iOLl; 1�OG IIn1c 1I_ UcplIl fiusr Soil Ilatlztin . Snll'I'cxlurc Sall �Color Still OIhcr Surlircc(in.) (USDA) (hhntscll) Molding (Shuclutc,Slimes.Iluulderes. . — S.SilIi151SLIGX.1/s�lAv�l) — - rr',.t.a SANoy Iz-3-z, r-rN3 sroNo��•. J�� Y/4_ ��� _ DI,l,I' OIISROWATION II01,1, IOC Mile Uclrlh lisnt Suil Iforizan Sail•'exhnc Still Color Soil OIhcr Surface(fn.) (IISDA) (hlunsell) hlulllhtg (Slnrelsrc,Shales,Iluuldcres. ye,aYe _ � _ [)I,I,It 01181.P;IZVf1.'1'ION 1!IO[.;L.1.0(► (Talc lI Uclrfh Pool Soil I lot l>otl Soil•texture still Color Still I OIhrr Sorfnce(In.) (USDA) (hhutsell) hlollllo g (Shuclutc.Sluncs,lhnddrrrs. lll,l P OU8HRVATION IIUi.,J+, LOG Il()lo JE Itelrlh list soil IlarlLOn Soil'I'cxlurc Soil Colot Still C)lher Ssrhtcc(in.) (IISI)A) (hlunscll) hlullling (Shuclurc,Slnhcs,ILndderes. -- -- SJ11SI11�114Ysi�llilY4l) I�li)lu� su)�nticc�ttlle L1111ti ZS cx�o / �o�S � , ' Ahovc 500.),car flood botrodrrry No — Yes . wllhto 500 ycnr buun(fnry No- Yes MilrinJ00 ycnr flood hosndnrY No ✓ Ycs Ugi luLl�� llsOl ccucCll) _ 'c (L�L11lll�rjLl Oocs nt lensl Tout. feel Of Ilnfllrall)' occurring pervious rlrlterinl exisl in :III wrens observed Illriwgholll (Ile nrc:l proposed for lbc soil nbsur)(tolls stem t as. • . I Y a If nol, wbnl is the(lept11 of nnlurnlly o(:cnrring Itcrvious 111;11crial7 I cerlify Illnt on G /5-95. ((Intc) I have passed the soil evnlunlor mmilinntioll nl)ln.uvcd by file 1)e))noment or l tivirounlellini Proleclion and(lull the above nl)nlysis wlls perrol-mcd by file cnnsislenl wilh the required Ir)l ill iilg, expertise nlid experience described in 310 CM It 15.017. I)lllc 1 Massachusetts Department of Environmental Protection Barnstable t Bureau of Resource Protection..- Wetlands Cityrrown x k y WPA Form 1- Request-for Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information ' Important: When filling out 1. Applicant: forms on the Tim Lanmen ' computer, use Name E-Mail Address(if applicable) only the tab key to move your 15 Elmwood Circle cursor-do not Mailing Address ' use the return Cotuit MA 02635 key. Cityrrown State Zip Code Phone Number Fax Number(if applicable) ' 2. Representative(if any): 6 A.M. Wilson Associates, Inc. Firm ` Diane E.Wilson, Ph.D. Contact Name E-.Mail Address(if applicable) P.O. Box 486 _ ' Mailing Address Barnstable MA 02630 Cityrrown State Zip Code (508) 375-0327 (508) 375-0329 ' Phone Number -Fax Number(if applicable) ' B. Determinations 1. 1 request the Barnstable rnake,the following determination(s). Check any that apply:, ' Conservation Commission ❑ a.whether the area depicted on plan(s)and/or map(s) referenced below is an area subject to ' jurisdiction of the Wetlands Protection Act. ❑ b. whether the boundaries of resource area(s)depicted on plan(s)and/or map(s) referenced below are accurately delineated. ' ® c. whether the work depicted on plan(s)referenced below is subject to the Wetlands Protection Act. ® d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction of any municipal wetlands ordinance or bylaw of: Barnstable ' Name of Municipality ❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as depicted on referenced plan(s). ' WPA Form1 Page 1 of 4 Rev.02100 1 Massachusetts Department of Environmental Protection Barnstable ' Bureau of Resource Protection Wetlands city/Town WPA Form 1- Request for Determination of Applicability Massachusetts Wetlands Protection Act UGI.. c. 131, §40 C. Project Description 1. a. Project Location (use maps and plans to identify the location of the area subject to this request): 75 Aunt Betty's Pond Road Hyannis ' Street Address Cityrrown Map 290 Parcel 90& 109 Assessors Map/Plat Number Parcel/Lot Number ' b. Area Description (use additional paper, if necessary): The Lanman property is located off the end of Aunt Betty's Pond Road, Hyannis. To the south and west of the property lie abandoned cranberry bogs. ' c. Plan and/or Ma References P O See Attachments;List Title Date Subsurface Sewage Disposal Design 6/15/00, rev 7/11/00 2. a. Work Description (use additional paper'and%or provide plan(s)of work, if necessary): ' Replacement of existing non-compliant septic system with Title V compliant system. 6 1 , b. Identify Provisions of the Wetlands Protection Act or regulations which may exempt the applicant from having to file a Notice of Intent for all.or part of the described work(use additional paper, if necessary). Remnant ditches surrounding the abandoned cranberry bogs contain only intermittent flows, therefore the ditches cannot be characterized as"Rivers"under the Act. All work is more than 50'from ' resource areas. Benefits are provided by replacing the existing cesspool which may be in ground water and is less than 50'from BVW with an SAS 5'above ground water and more than 1 00'from BVW make expiditing the project essential. ' WPA Form1 Rev.0 orm Page 2 of 4 Massachusetts Department of Environmental Protection Barnstable 7. Bureau of Resource Protection-Wetlands City/Town WPA Form 1- Request for Determination of Applicability c Massachusetts Wetlands ProtectionRAct M.G.L. c. 131, §40 C. Project Description (cont.) „ ' 3. a. If this application is a Request for Determination of Scope of Alternatives for work in the Riverfront Area, indicate the one classification below that best describes the project. ❑ Single family house on a lot recorded on or before 8/1/96 t ❑ Single family house on a lot recorded after 8/1/96 ' ❑ Expansion of an existing structure on a lot recorded after'8/1/96 ❑ Project, other than a single family house or public project, where the applicant owned the lot before 8/7/96 ❑ New agriculture or aquaculture project ' ❑ Public project where funds were appropriated prior to 8/7/96 ❑ Project on a lot shown on an approved,definitive subdivision plan where there is a recorded deed restriction limiting total alteration of the RiverfrontArea for the entire subdivision ❑ Residential subdivision; institutional, industrial, or commercial project ❑ Municipal project ry ❑ District, county, state, or federal government project ' ❑ Project required to evaluate off-site alternatives in more than one municipality in an Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an application for a 404 permit from the U.S. Army_Corps of Engineers or 401 Water Quality ' Certification from the Department of Environmental Protection. b. Provide evidence(e.g., record of date subdivision lot was recorded) supporting the classification above (use additional paper and/orattach appropriate documents, if necessary.) WPAForm1 Page 3 of 4 ' Rev.02/00 , Massachusetts Department of Environmental Protection Barnstable City/Town Bureau of Resource Protection -Wetlands WPA Form 1- Request for Determination of Applicability z I Massachusetts Wetlands Protection Act M.G.L.-c. 131, §40 D. Signatures and Submittal'Requirements I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability ' and accompanying plans, documents, and supporting data are true and complete to the best of my knowledge. ' I further certify that the property owner, if different from the applicant, and the appropriate DEP Regional Office(see Appendix A)were sent a-complete copy of this Request(including all appropriate documentation)simultaneously With.the submittal of this Request to the Conservation Commission. ' Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for Determination of Applicability.. ' Name and address of the property owner: Tim Lanmen Name ' 15 Elmwood Circle Mailing Address COtult City/Town ' MA 02635 State Zip Code ' Signatures: I also understand that notification of this Request twill be placed in a local newspaper at my expense in accordance with Section 10.05(3)(b)(1)of the Wetlands Protection Act regulations. Signature of Applicant Date I.� ilson Associates Inc 7/12/00 Signature.bf e ' an Date x, el" ' Diane E. Wilson, Ph. WPA Forml Page 4 of 4 ' Rev.02/00 v ' Attachments ' A. USGS Topographic Quadrangle;Hyannis, MA B. USDA/SCS Soils Study for Barnstable County, Sheet 28 C. FEMA Rate Maps, Town of Barnstable Sheet 6 ' D. MDEM Coastal Wetlands Restrictions Maps, Sheet P-67 E. MDF&W/NHP Natural Heritage Atlas,2000-2001, Hyannis Quadrangle F. Project Plans ' G. Barnstable Assessor's Map 290 H. Abutter's list r , ' EXHIBIT A A.M. WILSON ASSOCIATES, INC. 3261 Main Street P.O. Box 486 ' BARNSTABLE, MA 02630-0486 _- (508) 375-0327 FAX (508) 375-0329 USGS Topographic Quadrangle, Hyannis, MA a� I / ye/ �: �Plt )�i a ) sP(t ell 7 At I- -"/i - � / do j �= g t -,•. - 1�'Pdi;" .��' i', .,,.�� /� �} ��—_l C:-' Ai�' � o ii p � I'. 'I�ti a18+ t � � �I ��,,•,� j (,r) ,��" C\) U o > ^✓��•Yarmonth�,;�- _� � W �1.5�" ke�j' �° "�I 1��' t� ��•win� ST I�(�� i�� � �� /-a. _ o +,� J/�I�,)r. < w' � L Ca C ` n f ii a L'; Bog ti °I 0 g F®e 39 �1 Sta X PC A i r+Fk [ Granberry/, �/. i m �!', � •1_) tj`Ft. - � � �tl . cgs � .P� e} �/8 �i S� - �� ��� ¢� �' III _mot �,`) a� t� � + �•- C', 7 )� /) � / /S , .:, f) �Soil .-� � 1 /� / � �/ �� �o)� :j��l � in I it i� ,�1� �•��• �V•� _ D Y h � t, � a , t � ,!;� r�� •.--' mot. l� '\ t g-✓i� (' �> 9 rSFAsghl t lC - " 11 � �cy / �` -ciZrA i F/- Pa 46 i k Lk' � o "' o, G Cour �- a o ** llc'La gdang.., L Harbo Pub � m m.• , lOGrg= oCr> \. 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W N O Gd.F N M O W t'Y C dA eI _ N V 0 FS i� cda .': �; Y A R 3 Zi �O o X m 3 i a N r t -CdB v �q ' 7 `�} ".r I. 4U' •"��+ -q. 1`. �p �} CO 00 Bh PARF ? f r3 '< s y � �cn — r.> a SchooFho Cde Z ► U-par: 1.1 #� n a P t r Bh SLAA ae s N . CAP' U $ T G d P QUAW L \��. Bh a k f /� �� V/ Hsi. So }, M cooa SM I H S POINT Cn —I n 15ar �'>a ( ,' CUB l CO oint Dn 4,Y,. O vl. c fn ImA Ps8 / PsC C���F Fox Point O 5 Il 1 �\ 0 J. S Il �1V D rISB m O C W � - A.M. WILSON ASSOCIATES, INC. 3261 Main Street P.O. Box 486 BARNSTABLE, MA 02630-0486 " (508) 375-0327 FAX (508) 375-0329 FEMA Rate Map A O 9 A. E A � 1 �A ' ZONE C SEA w o� W o } } ¢ a z trw Dw Q 's > wQ oQ of O Q J LU Q 0 NA aJ ¢ Q JANTCE Z Q LANE w DUMON DRIVE ZONE to F+ N. �GF ' ZONE B , O ZONE C LOCIJS W 00 y RM 13 x PAINS �{ AVENI GRE ZONE S G VE P q L. :ZONE C a Q 2 J cc > N fL 2 PITr.HER Now ' PRODUCT204-1(&gle9ftft)MI(Ndded). A.M. WILSON ASSOCIATES, INC: 3261 Main Street P.O. Box 486 ' BARNSTABLE, MA 02630-0486 FAX(508) 375 0329 MDEM Coastal Wetlands Restrictions Map ' ryy� 4 Vz r t � A - �+..' t .' `�� -•t ."e T: .�� a -- t h3} `S 4 "4 '33 "iF" +S1k'.-WR 44. �}s lY`3 11 t, 1 F PH0011CT204-1 ISM1e 5Aeals1205-11PaACetl1 - - ' LXHIBIT t A.M. WILSON ASSOCIATES, INC.; 3261 Main Street P.O. Box 486 _. ' BARNSTABLE, MA 02630-0486 (508) 375-0327 FAX (508) 375-0329 MDF&W/NHP Natural Heritage Atlas J. J .t •n .r•+ I1M,1,+'4r'-4•i"tli1.i"•r�-w _i; /s t�- . •� Q ,.`'.7 _: r j'+'.r` �e r ar +x f � � r - ll. ,� '�': � i 5.�,,,.�*,F. 3t "c. �`:..��x....•�.rw � ;ti�"'s�." "'u�s� t�t �^'t It � ..0 a "'.;' I: a ._ };-.,•' .' I, { a_ ;y9�e-. - rr- -- (,.1� 1 - - f �•d ��1,�,ggjj I - '.'i->�1"� ry" .-S: q ~" 4%'n, r _ . 4. ( b - I '. c•�-t*-'.;..a.3_���y',y'�' f`� � :" � t .r �'��CamnrooiA)"',� 'q o�,1j �I ry.n ! /" r - i p Y -._ - ._ y r l � .•. - ..M .,,� Smarr ✓,r.i:ir^t, - .ter. I S��;T , {.w1' ✓" 4'i rC t aa� ,�¢ '�"i.•� �'. 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Box 486 BARNSTABLE, MA 02630-0486 FAX (508)�3 5-329 1 -0327 i ✓ e- .z X. - N CIRU.E E , O 631.9 e s `�. u 84 K ¢. 36 ..A' o >� n' ss a..Z-1 K•. 1V�oL fiil. 24aG h3f �.. 29AC 2 1 ,• \ O 17 p �> 1 Flo .,J 4 5, l,,a.,}11 �`' •.3yP.: , 32 �� O Q® 414C ms at !sfi' t s! ae M I.01 AC t 72 lob �42AC ' �.'. 1 a•z n•1e� � 410 �sy h I Yr ! TTa Grp - © w - I Q . ..J4ac ll f Y :j�rc• � '^ 91 .war µ =_cbgb P:.. 17 AC q2-1 4� 1 I6PE" C�f�srw+s: eFl . w V aQip- ®. es , tIINT !NETTS JpONO Q 49''AC 9t a o° . S 4 JZAC'5t N. + 'a.ce O . •\ zO �a1AC e..D ,I 2E.AC p,, r�oJc 82 n\ ao.00s". t � .m Ifo.S .v 8O :37Ac: fam (7 30 992.ac M C 1 CD u 98 .27AC as I. ~ d A6 d'p UG7 N�. -sa; J M=204-1(&0 SUM)24f11PJddWI, I Abutter's to Map 290 Parcel 90 & 109: ' Map/Parcel Name/Address 290/72 Olive W. Lesueur 83 Columbia Road Dorchester, MA 02121 290/73 Dale'R. Pelletier ' Corrine M. Hicks 155 Mitchells Way Hyannis, MA 02601 290/74-1 Thomas M. Tripp P.O. Box 1915 Orleans, MA 02653 290/74-3 Darnley Small 133 E 46`h Street Brooklyn,NY 11203 ' 290/77 Robert E. and Janet Svensson 70 Pine Grove Avenue Hyannis, MA 02601 ' 290/89 Feliciano Tavares Sr. Mary Tavares ' FVT& MGT Realty Trust 67 Betty's Pond Road Hyannis, MA 02601 ' 290/91 Hulda Kokko Joseph E. Bartell ' 80 Betty's Pond Road Hyannis, MA 02601 ' 290/92-1 Thomas J. and Michelle Russell 44 Betty's Pond Road Hyannis, MA 02601 I ' INLET & OUTLET COVERS TO BE NOTES: NO OF OUTLETS:3.-_.__ RevlSlons /� BROUGHT TO 6" OF FINISH GRADE OBSERVATION HOLE D A T!-\ T��_ _ ,'-3 ,/2" f )DISTRIBUTION BOX TG WITHSTAND H-i0 il' I -1i ` H_' -�I LOADING UNLESS UNDER PAVEMENT, DRIVES l_-- 10-0" --- 9" MIN.-y! 6" _ OR TRAVELED WAYS WHEREBY H-20LOADING I ( )�I I J P# 9746 i ii_- COVER j � r i SHALL APP0 SPECIFICATIONS FOR PUMP, PUMP CHAMBER, AND PIPING \1 T� ! ca 2)PROVIDE INLET TEE AS SHOWN WHERE I y T !- �---�-�AI A - 1} INSTALLER SHALL FURNISH, INSTALL, AND TEST A COMPLETE PLMPING I 24" DIA. MANHOLE COVER _ 1 -G �� SLOPE OF INLET PIPE EXCEEDS 0 08 FT/FT 6" FLOW-TOE OF TEEfTrP� �-- OR IN A PUMPED SYSTEM C T TEST PIT 1 GRID. EL 102.7 -� SYSTEM CONSISTING OF SLBMERSIB.' E SEWAGE PUMP AND MOTOR, TEST BY: M. WILSON ASSOCIATES '-� 0' 3" ZABEL FILTER -1 `TEE A. ~1\ ( 4" i I r 3 FIRST TWO FEET OF PIPE OUT SHE T # - L _ \ _ \ _ - (A100) L su NOTE 1) > DISCHARGE PIPING, VALVES, FLOAT SWITCH LEVEL CONTROLS, ALARM LEVEL, GW. EL. 99.37 WITNESSED BY: DONNA MIORANDI i I - 1 I OUTLET TEE W/EXTENSION__! l �� - DISTRIBUTION BOX TO BE LAID LEVEL NA BERNARD J. YOUNG / . - v ° NLET - 4-, `L ' < Ir�LET <>REcuMMENDED MANUFACTURER- CONTROL, CONTROL PANEL. AND PRECAST PUMP CHAMBER. ALL DATE: _�LG4;'00 MOTTLING EL_-__ CERTIFIED BY:�- �-� I I TEE L QUID DEPTH I ROTONDO OR APPROVED EQUAL T , FLAN VI w 5)DISTIRBUTION BOX TG BE WATER TIGHT EQUIPMENT TO BF. INSTALLED IN ACCORDANCE WITH MANI;FACTt?RER'S ELEV. SURFACE SOIL SOIL SOIL SOIL I 6' MIN 3/4" TO 1-1/2-STONE AND TO BE REINFORCED ?ONCRETE 1 r - - - _ _ TON - ' ! I SPECIFICATIONS AND RECOMMENDATIONS, AND N ACCORDANCE WITH o DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER T� T i -- �-- 310CMR15 AND LOCAL, REGULATIONS FOR THE SUBSURFACE DISPOSAL OF a -a--�--.o` 61, 5""D LE COVER I PRECAST CONCRETE SEPTIC TANK BOiTUM ON LEVEL STABLE BAS 3�4"- MASSIVE � � .c� t- " ' .SANITARY SEWAGE, AND STATE AND LOCAL REGULATONS FOR ELECTTICAL REINFORCED WITH STEEL Rnr- - ' '-- UTLET(S) 5" DIA. INLET o 102.7 0-12 Ap FINE SANDY 10YR 4/3 NONE FRIABLE _� � WIRING. � NORTH PLAN VIEW CROSS SECTION VIEW - - PROVIDE 2) PUMP 'SHALL BE MEYERS SRM4 OR EQUIVALENT INSTALLED ON MAIN a- FINE SANDY MASSIVE - - WATERTIGHT 101.7 12-32 Bw LOAM 1GYR 4 6 NONE FIRM NOTES 3) INLET AND OUTLET TEES TO BE CAST IRdN I � JOINTS (TYP) I SEPERATE CIRCUIT FROM ALARM. / OR SDR35 PVC �� I1) SEPTIC TA*: TO WITHSTAND H-10 LOADING TEES TO BE CENTERED UNDER MANHOLE COVERS. 7 1/2 I 3) FLOAT SWITCHES, CONTROLS, AND ALARM BY SAME MANUFACTURER. SINGLE GRAIN UNLESS UNDER PAVEMENT, DPIVES, OR TRAVELED I, T / UJWAYS, WHERE BY H-20 LOADING SHALL APPL) _�_- i t INSTALLATION ON RAILS AT OF TION OF INSTALLER, OWNER.100.0 32-84 C COARSE SAND 10YR 5/6 NONE LOOSE -BOTTOM oN 2) ALL PIPE CONNECTIONS AND CONCRETE CON- NO, OF GALLONS: 1500 �ao . LEVEL, STABLE S �` 4) ALARM WITH AUDIBLE AND VISUAL INDICATORS SHALL BE. INSTALLED MAIN i STRUCTION TO BE WATERTIGHT 2"Ja �yS; BASEMiN IN DWELLING _ I CROSS SECTION VIEW6-1/2� STONE ON SEPERATE CIRCt?IT F'Ii!JM Pt'MP. ELECTRICAL WIRING PERMIT WILL BE - SEPTIC TANK DETAIL REQUIRED SCUDDER ENDT ENCHMARK: DISTRIBUTION BOX DETAIL ROTARY INISH FLOOR ELEV 107.9 NOT TO SCALE NOT TO SCALE INLET & OUTLET COVERS TO BE BROUGHT TO 00' MIN, 00 MAX - WITHIN 6" OF FINISH GRADE �-EINISH GRADE 2 - 4"ID SCHED 4G PREF PIPE, (CR 3 >- rb' MAX 9'-MIN, -�-y-� - - - - 0.5% SLOPE. 5'3WACIN ED TOPSOIL, CROSS-CONNECT SAND BOTTOM ELEV 89.17 4'" PVC SDR � r - - - LATERALS AND VENT -�- - 29. SLOPE + ' PERC RATE: (TYP.) ��' __. I- _ -_- /--FIRST TWO FEET TO �.- 2" PEASTONE L 0 C U S M A P WATER OBSERVED 040" <2 ASSUMED MIN./INCH i01.4 r -� ' _- t C' 37 -_/ r� BE LAID LEVEL i10 53 MI x- 107.53 ' NOT TO SCALE 1 \_ 107.20 TEST PIT #2 GIRD. EL. 104.9 TEST BY: A.M. WILSON ASSOCIATES 10°E 4 1500 GAL. � L 216 DAv RESIm E 101 if I I --- 3/4" TO 1-1/2- IC TANK 101.15 r M N V 1 L.-� WASHED STONE GW EL. 98.23 WITNESSED BY: DONNA MIORANDI ALARM ON .L r-0.ac Y'n' " i%a' 1G�G3 -'---- I DESIGN ANALYSIS DATE: 05/04/00 MOTTLING EL.NA CERTIFIED BY: BERNARD J. YOUNG '-� _. PY19011 _ o1 �P *�Y "°Le t06 3 BOTTOM LEVEL FOUNDATION ZTO 5 00 ELEV. SURFACE SOIL SOIL SOIL SOIL ,- Ioo0CALLOhPUMP'IW118EP - -- 45' x10' x6" FIELD 1 DEPTH HORIZON TEXTURE COLOR MOTTLING OTHER BE INSTALLED ON A - ST•1000-H-10 I DESIGN FLOW: I LEVEL & STABLE BASE. PROS HIGH GROLIND WATER ELEV 101.31 BEDROOMS 3® 110 GPO = 330 GPD, NO pISPOS:�L MASSIVE, SYSTEM PPOF-iL- 104.9 0-24 Bw LOAMY SAND 10YR 5/6 NONE FRIABLE NOT TO SCALE GRAVELLY SINGLE GRAIN, LEGEND C- pp SEPTIC TANK REQUIREMENTS: 102.9 24-99 C COARSE SAND 10YR 4/4 NONE LOOSE �C"H Found L E G L N L,� 330 GPD x 2 DAYS = 660 GALLONS - - ••� USE 1500 GALLON SEPTIC TANK _ - --------------- -- --•- - � �- ----- WETLAND LINE � J F'ro ect Title Wf 22 WETLAND FLAG o ce/vH CONCRETE BOUND LEACHING FACILITY REQUIREMENTS: SIDE AREA:( NOT USED IN CALCULATION) Hydrant / WATER GATE I (Tog Bolt #609 = E-lev 103.50 Assumrd) o BOTTOM AREA ( 0.74*10*45) = 333 GPD WATER LINE - ---- ---- i -- _ #75 BOTTOM ELEV '�E.65 -c�Hw - (=:VET HEAD WIRES TOP PERC HOLE PERC RATE: --98 CONTOUR Be t98X5 ty "s 2s� SPOT GRADE WATER OBSERVED 080" ® 30' EL 102.4 <2 MIN./INCH (0 00 S� � dUSGLEACHING F ACILITY PROVIDED P S: MIW29, 4-24-00 INDEX 8.01 0 � �`- ADJUSTMENT: 3.08' o �' USE 10' X 45' X 0.5' LEACHING FIELD PROB. HIGH WATER 101.31 ' --- ��\ WITH 2 LATERALS 5' APART, 2.5' FROM SIDE - RC 0 ZONING SUMMARY ` DOSING- CALCULATION - Jlllc I �� DOSES PER DAY: 4 ZONING DISTRICT RB �, VOLUME PER DOSE 330GPD/(4 DOSES/DAY)=82.5 GAL/ �uivert MIN. LOT SIZE 43,560 S.F. = wF #1 DOSE DEPTH 82.5 GALj7.48GAL/FT-3/(8'L x 4.33�.3L'' Yc MIN. LOT FRONTAGE 20 �MIN. FRONT SETBACK 20' � l M!N. SIDE SIDEBACK 10' -- - MA O v e r g r o w n B o #A1MIN. REAR SETBACK 10' g � ' \ � � � � NOTES 1. UNLESS OTHERWISE NOTED, ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO � �e ' TITLE V OF THE STATE ENVIRONMENTAL CODE AND ��a AL TOWN OF BARNSTABLE RULES AND REGULATIONS � AL / �p Mailbox \ ------ 0 X ,��� \ \ AL v e r g r ow n B r� 9 2 GROUT TO BE USED AT ALL POINTS WHERE PIPES Prepared For NOTES: \ ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ,� ,)I� O \ \ � � � ORDER TO PROVIDE A WATERTIGHT SEAL, 1 PROPERTY LINES SHOWN HEREON WERE COMPILED FROM t,llty \'oo_ _..._.•- PLAN BOOK 122 PAGE 117 AND DO NOT REPRESENT AN AL ,fA2 '�✓ P°le 1 �,f2 ,� 3. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL BE Thomas Lan 4-n a I ACTUAL SURVEY ON THE GROUND. \ \ WF_#3 WF-#4 SEALED WITH NEOPRENE GASKETS OR ASPHALT CEMENT TO PROVIDE A WATERTIGHT SEAL. I 2. DEED REFERENCE: BARNSTABLE COUNTY REGISTRY OF DEEDS ,!� '�`- � \ \ � do \ � _.. � � 'oo� '�` I 4 PRECAST CONCRETE SEPTIC TANK, DISTRIBUTION � BOOK 7146 PAGE 23. _ - - ` \ \� o BOX AND LEACHING FACILITY TO WITHSTAND H-10 1 o LOADING UNLESS UNDER PAVEMENT, DRIVES OR 3261 Who,) Scr f % -\- - Q AL ' L ro TRAVELLED WAYS WHEREIN H-20 LOADING SHALL --- B,3rrwtabl", 3. ELEVATIONS ARE BASED ON AN ASSUMED DATUM. ,�A3w•F/� ��o I �,.% r2F',� E 4. LOCATIONS OF UTILITIES SHOWN HEREON ARE APPLY. 1, APPROXIMATE ONLY AND ARE TO BE VERIFIED IN THE \ ter prA '� Sh l 5. ALL PVC PIPES IN THE SYSTEM SHALL BE FIELD. \ °'�� o" �14 ed t , SDR35 5. ASSESSORS MAP 290 PARCELS 90 & 109 6. WASHED CRUSHED STONE SHALL FREE OF ALL \ _ ( S DIRT, DUST AND FINES, 6. LOCU$�FALLS WITHIN FLOOD ZONE: C \ Ir � \ \ o o A. M. Wilson Associates \ q 7 AT ALL POINTS OF INTERSECTION Or WATER LINES o°^o '�` 2 AND SEWER LINES, BOTH PIPES SHALL BE CON- 508 375 0327 / FAX 375 0329 +_�, o- STRUCTED OF CLASS 150 PRESSURE PIPE AND ARE TO \ \ Uoltlft y °� 1 9� \\ ' 0 w BE PRESSURE TESTED TO ASSURE WATERTIGHTNESS. I - o ,� 1 o ,; Drawing Title r. � r i 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY ROTONDO OR AN EQUIVALENT \ / #'5 1 MANUFACTURER. > 9. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING - i \ � v ��1(j \ •\ - - \ / ,DDT I / / I o AREA .AND BACKFiLL WITH MATERIAL AS DESCRIBED N VE R �I ELEVATIONS ,, _ - -`�- _ /Test Pit �yt ON PLAN. f / b -, 144.56 F� \ \ / / (Elev.=192.7) �_ 1.9 %�i 1 I 10.HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO 4" INVERT AT BUILDING 104.4 / r r o _ OPERATE OVER THE LIMITS OF THE SEWAGE DIS- 104>S \ i Y / / POSAL SYSTEMS DURING THE COURSE OF CON- 4 � 4" INVERT AT 1500 GAL. TANK (IN} 101.40 _ I ,n �_ 100 FROM F€st Pit #2104.9,1 ~ STRUCTION OF THE SYSTEMS. ' � ✓ __..� � r< „" WETIA�D ` a. \ / Wooden Fteps l 4" INVERT AT 1500 GAL. TANK (OUT) 101.15 _ "'`� --,.�� �118.72 '�'�� " - ,� L / & Porcp Cleano t 11. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL �� y��K\� T 1 101- oncrete / / Bulkhead SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN 5 < \ Steps APPROVAL OF THE ENGINEER AND THE LOCAL 4" INVERT AT 1000 GAL. PUMP CHAMBER (IN) 101.1 1 \ � _ p BOARD OF HEALTH. r 4" INVERT AT 1000 GAL. PUMP CHAMBER OUT 101.lf ' � _ __ - ` ~ - - -� - \ 1' \ �� deck r ` ./ 1 (OUT) 106- 7 \ \ \ - / l 1 THIS SYSTEM SHALL BE INSPECTED AS REQUIRED BY ro \ p ry TITLE V. 4" INVERT AT DIST. BOX IN 107.37 - ---- ° -107- --- - -- -- - �o r � � p Stormy eK�,r,nnc 13. A CERTIFICATE OF COMPLIANCE AS REQUIRED BY 4" INVERT AT DIST. BOX OUT 107.2 / \. S \e peT 7 1G F� �c- n9 JC'HriY:.:L:�G t sr TITLE V AND AN AS-BUILT PLAN (OUT) ---- -it --- �� / lo) !_ NO.114 78�11 1; c - - - .-� 9' o p�C .R;,;, OF THE SYSTEM MUST BE OBTAINED BY THE J;,J1e, 1 "- 20' INVERTS AT LEACHING FACILITY: f - _ I10b.531 y ---_ - - - CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. __- 4" INVERT AT BEG. ` \� - - �� r--_-- o ox \ _106- -- -->•sr- _ 9 -109- -i 0 �j - - -- - _ _ _. \ \ 0 0 14, THIS SYSTEM IS NOT DESIGNED FOE? A GARBAGE 0 10 20 30 40 U LEACHING FACILITY 107.03 _ - h I _ \ '� � =ter---1, _ o ,_ i � ;_.� DISPOSAL UNIT. -170 -- 1 O'x45'x0.5' FIEL 4" INVERT AT END - _ - o i 7� /l`� 15, ALL. UNDERGROUND UTILITIES `SHOWN WERE COM- 3 l \ \ \� TOE_ ` \ +-- _- - - rG� ` �1 PILED ACCORDING TO AVAIL.-ABLE RECORD PLANS LEACHING FACILITY 106.Fs1 f _ \ � _-- -- _ 280.25' -== _ _ _ _�`„- -- - -- - /- _ AND ARE APPROXIMATE ONLY. SEES CHAPTER 370, Dote June. 15, 2000 - ---,• LJ -_ y� '6.64 � � I ..._ DI rcawin:, VENT _ -_ - 5 1157'20" E / / r r - v -7 ELEVATION AT BOTTOM - -- - -- -- - - - -- A� T� OF 1963. MASSACHUSETT':' GENERAL LAWS. � I > LIMIT 0� 5' REMO��L / Design _ -. - -- -- -- - I S Q e� Check -A.M.W OF LEACHING FACILITY 106.31 LAny/e. Iron Found OF UNSUITABLE MATERIAL,. \ ~'08� � ` -- � -' 'T I WE ASSUME NO RESPONSIBILITY FOR DAMAGES r. / INCURRED AS A RESULT OF UTILITIES OMMITTEU OR i PLAN VIEW (TOP & SUB�01L) PROBABLE HIGH GROUND WATER ELEVATION 101.31 - \ _ i INACCURATELY SHOWN THE APPROPRIATE PUBLIC Drown J.V.B. -" SCALE: 1" = 20' �. �- '' ENGINEERING DEPARTMFNT SHALL_ BE CONTACTED AS ------ - ;----I ; \,,�09` - WELL AS DIG SAFE: (PH. NUMBER 1-888-DIG-SAFE Job. No. 2,101 ; . I BEFORE ANY CONSTRUCT=ON IS TO PE FC 9N. 11cst Rev. 7 !11 /r,n Ej j i .y')f 1 L ANMAN OWG j F