Loading...
HomeMy WebLinkAbout0255 CRYSTAL LAKE ROAD - Health L Crystal Lakeville 9 - 050 MEMO i YOU WISH TO OPEN A BUSINESS?. For Your Information: Business certificates(cost$4D.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. J,. DATE:b- ` o Fill in please. APPLICANT'S YOUR NAME/S: �� I.'r;!@'1,a.*"�-"'''d1�'• s.4i BUSINESS YOUR HOME ADDRESS: — ', T SJ.i 3i.Ihl ids?Y I uu TELEPHONE # Home Telephone Number 6 .4 SZ�� ! 3 r lvfiL�. 47P�u17d tiM w.' •.:..nilw-�:.:a�,;a.nxrl:? OR E I N #: E-MAIL: y` NAME OF CORPORATION: NAME OF-NEW BUSINESS i N u S i T- TYPE OF BUSINESS VV1-;ham IS THIS A HOME OCCUPATION?---�YES NOS Q� C V ADDRESS OF BUSINESS ol/� WCT6y MAP/PARCEL NUMBER 1 �' J� [Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you In obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CONEI NER'S OFFICE This individ MCI . d o n per it roquiremerits th t pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO orized 5 natu _______� COMPLY MAY RESULT IN FINES: MENT 1 �.,—Q 2. BOARD OF HEAL H This individual ;u2th<,o bePizedSignat&e*N4__1 ormed�ofi h it re it ments that pertain to this type of business. COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: /' / /TO/WN/OF BARNSTABLE 7a OCATION /f C,f,x ` G�hz �� SEWAGE# 7 `VILLAGE DS7`l`d//Y ASSESSO//R'S MAP&/PARCEL r INSTALLERS NAME&PHONE INTO. ug/j�/fig.' SEPTIC TANK CAPACITY /,OGO LEACHING FACILITY: (type) 305V—Tw 4AP <S' (size)?b, YO a NO.OF BEDROOMS OWNER Ell-Ic f PERMIT DATE: �?�` i�/rJ') 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 Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of 1 Ching facility) Feet FURNISHED BYw� r �rr�•'^'�"� 19 ?� a71 o TOWN OF��;.•s. Sa�� Wm LOCATION: VILLAGE: Cali" I c',s'a PERMIT . INSTALLER'S NAME: ��nn 9 - � INSTALLER'S PHONE#: LEACHING FACILITY: a) (size) NO.OF BEDROOMS: BUILDER OR OWNER: PERMIT DATE: COMPLIANCE DATE: DRAW DIAGRAM ON BACK cl A t�sl TOWN OF BARNSTABLE LOCATION a,SS C l VPA, /XI<e PSEWAGE # VILLAGE ASSESSOR'S• MAP & LOTZV9—,O.�G a� INSTALLER'S NAME & PHONE NO. . D SEPTIC-TANK CAPACITY LEACHING FACILITY:(type) Ph_2Z % (size) fife d NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER?o�`Zc?� 'BUILDER OR OWNER (� GZ `f t C e * DATE PERMIT ISSUED:_!L 1,2 i�z DATE COMPLIANCE ISSUED: l '' Z� VARIANCE GRANTED: Yes No A _ pp F 33 43 S_ p q-6 5s F , (� F (ems ,Q C J da u) ON hss:c ks No. . °l f�V Io P Fee /O® ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS �VYe application for Oi -5 �&p5tem Cou!5tructton Permit Application for a Permit to Construct( ) Repair c Upgrade( Abandon( ❑.Complete System Individual Components 79 Location Address or Lot No. oC S�`gf,�p ah L 4 ` Owner's Name,Address,and Tel.No. rIc Assessor's Map/Parcel /3 9 S� �g- y� .o,7 3 J O Sir v< �' 04 Installer's Name,Address,and Tel.No Designer's GG �" Designer's Name,Address and Tel.No. � Type of Building: r Dwelling No.of Bedrooms Lot Size 22 /�� — sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.regquired) yHo gpd Design flow provided yr3 gpd Plan Date �T .)0617 Number off sheets / / / Revision Date Title S��� PSG y o tl' CH�3�+L ta/Yi /q Size of Septic Tank 1000' GEC Z .(�s�ihT_Type of S.A.S. S— "7Z✓aA.X, Description of Soil ��P _e a 17 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 Boar of al S i g n e _ Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued I No. Entered in computer: THEOMMO�NWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE, MASSACHUSETTS Appriratiou for �Digpoga[f *pgtem (Conotruction Permit Application for a Permit to Construct( Repair'(t4 Upgrade O Abandon(')` O Complete System ®Individual Components Location Address or Lot No. a7 701 �}���9 s < <Q ` Owner's Name,Address;and Tel.No. /^/C �'� • Assessor's Map/Parcel �3 //f--� , /� S�j$ y.1$,,?7 3J O S�+�v.��*- K•+�'!' Installer's Name,Address,and Tel.No. �/�r�Jo�>' u"'J¢ Designer's Narhe,Address and Tel.No. Sa8-�1� $91� /�'1r11.i/r. mr�- �,g" �1.�- fr`// '. ��,�L��p.l, ,�►�/� Type of Building: r Dwelling No.of Bedrooms L/ Lot Size /�= sq.ft._Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re wired) y149 gpd Design flow provided yf` d _ gP Plan Date �+S T •)00 7 Number of sheets ! _—Revision Date---- -Title f' Pan o� �Sf" C�73 ,/ ���7 ._11� Size of Septic Tank /, :We GW, Z X.-T 7 Z Type of S.A.S. f— —7',I C,eA, Description of Soil ✓�P P�ct� Nature of Repairs or Alterations(Answer when applicable) Y,Dc/r i y 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 Boa d of alAr ' Signe ��dZ n, � Date Application Approved by ;L/f�p�1'j! bILK /�� J Date Application Disapproved by: / Date for the following reasons Permit No. r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTI Y,that the On-site Sewage Disposal) System Constructed ( ) Repaired ') Upgraded ( ) Abandoned( at �s`r Gfr o Lti �w ��" �s �iri���" has been constructe• i ac rdance with the provisions of Ti le 5��//and the for Disposal System Construction Permit No. dated Installer Or U/Ti Designer. / Icl �• /�// -i�,..•r,,, #bedrooms I Approved design flow / / gpd The issuance of this permi sha no a construed as a guarantee that the system will nc io as designed. dw t r Date Inspector r , /J ------- -- ' ———————————— —V —`_ . No.--` Fee �0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS &5pogar *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( "51"Upgrade ( ) Abandon ( ) System located at 0�rlr e ryJTg Z-7/rr and as described in the above Application for Disposal System Construction Permit.The applicant recognizes ' /her duty to comply with Title S and the following local provisions or special conditions. Q Provided: Construction in plAted within three years of the date of this e p Date (/ Approved by / /� f DONE 10/07 i FROM :down cape engineering inc, ,FAX NO. :15083629880 Nov. 02 2007 01:27PM P1 Y1 , Town of Barnstable Regulatory Services Thomas F. GeHer,Director public Health. Division wn` Thomas McKean, Director 200 Main Street.Hyannis,MA 0260) affi=: 5,08-962-4644. Fax; 508-190-63U4 nstaller Desig-ver-CertMea_tion Form Date:Il a Sewage Permitg c�)0 7 41 Assessor's MaplParcel 139/-5-0 Designer: vj'^- celev_ ;f�Staller: p''� `0 C I ► °a�G� 01 Address- f 6 G,c n Address., I° o 16kw On r �f �` was issued a permit to install a (dale) (lnstalier) Septic system at a�-c�J� (��r6zbased on a design draNxm by address) ( sianer) 7 cenify that tht septic system referenced above was installed substantially according to the design, vt&h may include minor approved cl:ianges such as lateral relocation of the disi:ribution box endlor septic tank. I eertify that the septic system referenced above was instated vhnth manor changes (i.e. greater than 10' lateral relocation of the SAS or an-,'vertical relocation of aay component of the septic system) but in accordance Mth State & Local Regulations. Plan rvision or certified as-built by designer to follow- Of MA4q„cG - DANIELA- � oJALA ; (Installer's Signature) CIVIL W No.46502 4 1 Fss�oNA��aG (Designer's Signature} (�-5x Designer's Stamp Here) PltASE 'RETURN TO BARNSTAI3 E PUBLIC HFALTR I)WBIDN. CERTIFICATE OF C(�1l1PLiANCE V+�TI,,I, N'OT RE ISSL:F..E] UN'I`I.I� BIRTH 'TH,IS OR'VI A'D AS RI.]iLT CARTy ARE RFCFIj q.D I3Y THE I3 RNSTA$LIy PLl13LIC III ALTH DIVISION. THANK YOU. Q:)3caWSrptic/DcsigicT Certification Form 3-26-Q4.doc r' COMMONWEALTH OF MASSACHUSETTS _ r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION OF FTC] INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A - CERTIFICATION Property Address: 255 Crystal Lake Road Osterville Owner's Name: Will Price Owner's Address: Date oflnspection: •7/10/2007 1 � Name of Inspector: (please print) Patrick T. Sullivan _ Company Name: Ready Rooter ; Mailing Address: P.O.Box 371 c Sandwich,MA 02563 W Lo Telephone Number: (508) 888-6055 c CERTIFICATION STATE MENT I certifythat I have personally inspected the w d sewage edisposal s stem at this address and that the ' p y p gy e mf rmatton re. orter� below is true, accurate and complete as of the time of the inspection. The inspection was performe f ased on-diy i� { training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP s approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The System: Passes Conditionally Passes eeds Further Evaluation by the Local Authority Fails Ins 's Sig ector nature: �"�'� F b %'✓ % 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that f time.This inspection does not address how the system will perform in the future under the same or different conditions of use. k"� Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION_ FORM PART A CERTIFICATION (continued) Property Address: 255 Crystal Lake Road Osterville Owner: Will Price , Date of Inspection: 7/10/2007 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 at any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criter' not evaluated are indicated below. Comments: y 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. D it he for the follow/ngtatements.If"not determined" lease Answer yes,no or not determined (Y,N,N ) n t f e p 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. ND explain: 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 brok/Ieeven distribution box. System will pass inspection if(with approval of Board of Health): pipe(s)are replaced tion is removed tion box is leveled or replaced, -ND explain: The system required pump' times a year due to broken,or obstructed pipe(s).The system will pass inspection if(with approva of the Board of Health): broken pipe(s)are replaced / obstruction is removed ND explain: i f Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 255 Crystal Lake Road r . Osterville Owner: Will Price Date of Inspection: 7/10/2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the B Ord 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 deter ' es in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which ill 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 bordering vegetated wetland or a salt marsh 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,sa ty 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/AS ithin a Zone 1 of a public water supply. —The system has a septic tank and SAS and ithin 50 feet of a private water supply well. _The system has a septic tank and SAS andess than 100 feet but 50 feet or more from a private water supply well". Method used to�etermine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds in icates that the well is free from pollution from that facility and the presence orammonia nitrogen and nitr to nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of t e analysis must be attached to this form. 3. Other: i' Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) _ Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'/Z day flow 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. tAny portion of a cesspool or privy is 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] Y�!5(Yes/No)The system fails. I have determined that one or more of the above 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 f ility with a design flow of 10,000 gpd to 15,000 gpd You must indicate either"yes"or"no"to each of the foll ing: (The following criteria apply to large systems in additi to the criteria above) yes no t the system is within 400 feet of.a surfac `drinking water supply the system is within 200 feet of a tri tary to a surface drinking water supply ' _the system is located in a nitroge sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water suppl well If you have answered"yes"to any q stion in Section E the system is considered a significant threat,or answered "yes"in Section D above the large stem has failed. The owner or operator of any large system considered a significant threat under Section E r failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner shou d contact the appropriate regional office of the Department. r Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 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? -1z _ 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 than 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: Yes No 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(3)(b)] I Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design) Number of bedrooms(actual):._ DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): $'Sc!> Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no): if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no):.v Water meter readings, if available(last 2 years usage(gpd)): 1Jr i-y C:u4'7t=.Tr �'0,7 acx:.r r�T"C Sump Pump(yes or no): 6D Last date of occupancy: cz COMMERCIAL/INDUSTRIAL' Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq. etc.): Grease trap present(yes or no):— Industrial waste holding tank presen (yes or no):'_ Non-sanitary waste discharged to e Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use:f. OTHER(describe): GENERAL INFORMATION ' Pumping Records Source of information: Was system pumped as part of the in ection(yes or no):,&aQN If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: 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) Tight tank Attach a copy,of the DEP approval _Other(describe): r Approximate age of all components,date installed(if known)and source of information: c C tas Were sewage odors detected when arriving at the site(yes or no): At, 3 er•v.,a.�` 1n.:'a�,, -�a.,.rti„ s-� .air` 'mac.» :�a,�`' 's"ak \ t) '�"+e aa.rs �k3 4% _ f Page 7 of 11 OFFICIAL INSPECTION FO RM ORM—N ,OTF FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 BUILDING SENVER(locate on site plan) Depth below grade: :D' S / Materials of construction:—cast iron A 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage, etc.): SEPTIC TANK: V/ (locate on site plan) Depth below grade: Material of construction: 'cocrete_metal_fiberglass—polyethylene —other(explain) If tank is metal list age: . Is age confirmed by a Certificate of Compliance(yes'or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from the top of sludge to bottom of outlet tee or baffle: 6 4 Scum thickness: r Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels . as related to outlet invert,'evidence of leakage,etc.): �`-''��� ';�.^ J�\.�.ar� . 1.�Z c� c✓�i.`�V- ��p...a�'�'',�\ "�\ c"�<.:71�-�2.�� 'c'+�.i�+•�"V a ��,• �•c^.T �, � v�t� Cvc.�z�+—S cu`^a .` GREASE TRAP:—(locate on site plan) ` Depth below grade: - Material of Construction:--concrete— —metal fiberglass—polyethylene—other (explain): - Dimensions: Scum thickness: // < Distance from top of scum to top of out tit tee or baffle: Distance from bottom.of scum to bott of outlet tee or baffle: Date of last pumping: Comments(on pumping recomme ations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,eviden of leakage,etc.):` ' I r Page 8 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 TIGHT or HOLDING TANK: (tank must b pumped.at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete_met fiberglass_polyethylene_other(explain): , Dimensions: Capacity: gallo Design Flow: gal ns/day Alarm present(yes or no): Alarm level: Alarm in orking order(yes or no): , Date of last pumping: , Comments(condition of ala n and float switches, etc.): . 6 DISTRIBUTION BOX: if pr esent esent must be opened)(locate on site plan) Depth of liquid level above outlet invert: 73 Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): PUMP CHAMBER: (locat/ne "n) Pumps in working order(yes or noAlarms in working order(yes or noComments(note condition of pumpondition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 255 Crystal Lake Road Osterville Owner: Will Price Date of Inspection: 7/10/2007 SOIL ABSORPTION SYSTEM(SAS): locate on site plan,excavation not required) If SAS not located explain why: y Type� ti eaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: 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.): .0�-�-.�.r�. �J���n�C —3 .r•r>>.•. � �1]c7 K "7C� \g C'a�� 1b1v�� -,+\��.�� � �Cl T•". ,t_ SSA 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 or no): Comments (note condition of soil, signs of by raulic 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 hydrauli failure, level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 255 Crystal Lake Road' Osterville Owner: Will Price Date of Inspection: 7/10/2007 a SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all we is within 100 feet. Locate where public water supply enters the building. u�t c r Z/ Z. O O LA3 it r , Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. " SYSTEM INFORMATION (continued) Property Address: 255 Crystal Lake Road I Osterville Owner: Will Price Date of Inspection: 7/10/2007 SITE EXAM Slope Surface water Check cellar Shallow wells, Estimated depth to ground water > 3 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: W'%4i, You must describe how you established the g high round water elevation: V I oFT�r� Town of Barnstable . Regulatory Services BAMSPABM ; Thomas F. Geiler, Director v MA3S. g, Public Health Division AjFp�,I A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS DISCLAIMER A septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original or copy of the report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observations and interpretations contained within this report. In addition, by receiving the report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular. property would be listed on the Disposal Works Construction Permit. QASEPTIC\Disclaimer Private Septic Inspections.DOC N 0.. Z"?f THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratinn for Di►i,pnial Wi nrk,!i Tonfitrur#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair (A<n Individual Sewage Disposal System at: ° i j -t �r �� ._.__d_S4.Q........k.. ` ---------.•.............................. ....... i--------•-.-•--- ••-•--•--..__...•.---• ._........__ L�� on•Address or Lot No. - ---- /'� owner { F1 11 Address v f114J i4`�1 h.. -----_ r2 ��-l�jf._ _�A S PG, r ----•-•-- -----• ----- --•-•-••._......-•----...... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms______________________________ __ _Expansion Attic ( ) Garbage Grinder ( ) ,-, aOther—Type of Building ............................ No. of persons-_-___-_---__________--__-_ Showers ( ) — Cafeteria ( ) 04 Other fixtures ............................... . . W Design Flow............................................gallons per person per day. Total daily flow................... gallons. G� Septic Tank—Liquid capacity&, gallons Length-__- __-_ Width-----P-....... Diameter________________ Depth................ Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--.__---.-_--_--__ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �_4 Percolation Test Results Performed by........-................................................................. Date........................................ 0.4 Test Pit No. 1................minutes per inch Depth of Test Pit--_----___.-____-___ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ---------------- -----------------------•-•--_-... ----------- •............ .. ........ ------......... Description of Soil----- !_-f'�_•------------- x ------•••-••••--•-•----------------•••---•-•---------•......---••-••-•-- U -•-----••--•-------------•---------•--•-•--..._.........--------------------._.....------•-•-------------------•---------------------.._.__...----------•----•-•-•-••-----••-•--•--•--•-•••--•._.....__. W --•--------------------------------•--•-•----------••--••----------••---.......-•---•--•-••-------•------•-•---•-------- -•• • fi__ U Nature of Repairs or Alterations—Answer when applicable._.... N.-._.____ �___ _ __.__ .............................. C / Q.r �` Agreement: The undersigned agrees to install tFie aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has be iss/u�d�by the board of health. Signed . ................................ .................................:...... Date ApplicationApproved By<......... ............. ........................ - ........................................................ --��-.,��r'-� Date Application Disapproved for the following reasons: ....................................................................................................................................... ................................................................................................................. ... ............................ ...................... .. ......... .... ............ / re Permit No. �g .�- l -...- .....T...� .................�� .............. Issued ..........�...._�.-...._ �. Dace ----� i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 'r - ,X lirtt L�Yt f ,4�al Nuriw CnnwitrYxrtinYY ramit Application is hereby made for a Permit to Construct ( ) or Repair (,4�an Individual-Sewage Disposal System at: L cstion-Address or Lot No. ............................. i ! O'cner p Address Installer Address UType of Building n Size Lot............................Sq. feet w ` Dwelling—No. of Bedrooms....................................... ....Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons__---____--______..-____.___ Showers ( ) — Cafeteria ( ) QI Other fixtures ------------------------------------------------------.. I Design Flow............................................gallons per person per day. Total daily flow.................. ........................gallons. 9 Septic Tank—Liquid capacity/ta��-gallons Length____ ---- Width-_-_-E_____--. Diameter._S.......... Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................%sq. ft. 3 Seepage Pit No................_--- Diameter._-__...__._.____.__ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ) Dosing tank ( ) ~" Percolation Test Results Performed b ............................................... Date.................... .................. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •---•------------------------------•-----•----•--------•---•----•------------................_...---......................................................... D Description of Soil.....5n&_0....................•---•-----••-------......_----•--•••--•----•---- V ....--•••---•-••---•--••-•.......••••••--••----•-......---•-••----•------•-----•--.......-•-•-•--•--•----•••--•••••------••-••-•--------•--•-•••-----•-••--•---•-•-•...................................................... ...............----------------------------------------------------------------------------------•------------. -------------------------------------•-..... •• . ........ U Nature of Repairs or Alterations—Answer when applicable___._a'N..S �?�_�__...._._..>`1�_ __.... °h.. L_................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with j the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issudby the board of health. Signed ...... r.......... ...........:...... 'Dace Application Approved BY ... -.. '� 7... 1-�`z-r.... .... 1 ............................... .. Dare Application Disapproved for the following reasons: ....._..........__............... -- ...............................................................---.................. ................................................................................................................................................................. .'. .............. .................. Date Permit No. .... .1y ... ................. Issued .......... /' %../1�4..*......... ._._._— --_-------¢--..--__.---_—_._----..... — Dare ---_--,-/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ( V��Ertifirate of Tompli2 nre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ....... .clU..!-3..........................c.X«.��.ty 1.P.9---------------------------------------------------............................................................................................ Inst:a�er at .....�.S �-------------C..4L L,.S..`�a..� ........... eq.loll L ��J.. c� _-.��.....(.�..-5. has been installed in accordance with the provisions of TITI.- Sof The State Environmental Code as described in the application for Disposal Works Construction Permit No. _��.... . �.....__.. dated ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r c DATE........... -... ?`.... .. ................ .... ...... ..... Inspector ....._.._. ,� !`'-.......... - - '...............................' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Noll.. .._._1... / FEs..`..'�...�J-.ff�. Permission is hereby granted. ���. �_..._! =:.. .L���" �; ��� i / ........................................... to Construct ( ) or Repair (t' an Individual Sewage Disposal System - atNo.•--•� f r. ..-. 'Iv 60 ---. ..............-................................................................. Strc et as shown on the application for Disposal Works Construction PermitlNo`._ _ � ated.__. �".__ .,1�"`:.*''.:.�1� - �---- ' / /� /'� ' /..... FORM 36508 HOBBS a WARREN.INC..PUBLISHERS h. V .Pd 00, 11 l Gt '1 i Main St. OWN OF ASSESSORS MAP 139 PARCEL 50 LOCUS I r1 LOCUS IS WITHIN AP OVERLAY DISTRICT I j 'DATUM: APPROX. NGVD 9� n l � � CA Moff rI I STo w r I °R "F I /� T i LOT 36 �gAO�a Seo 29,410 SFt sac - II Ano av(� 86' m 03 O I, �—G� ov mr. LOCUS MAP GARAGE m SCALE: 1" = 2,000'f I / (SLAB) / STONE DRIVE GAS oE�K ZONING SUMMARY o i METEF� \N,� // REMOVE) ELEC / EXISTING i / ZONING DISTRICT: RF-1 O c METER/ I O DWELLING / PROP. ADD'N. I mac• / / MIN. LOT SIZE 43,5 60 S.F.* P QRpX Vp /^ MIN. LOT FRONTAGE 20' ,EXIST. MIN. LOT WIDTH 125' �So / DECK/ EXIST. " MIN. FRONT SETBACK 30' " " " GARAGE,EXIST. MIN. SIDE SETBACK 15' �Q �\ PATIO MIN. REAR SETBACK 15' PORTION TO BE REMOVED SITE IS LOCATED WITHIN RESOURCE PROTECTION OVERLAY DISTRICT 30 ' OAKS } (TYP) SHED OWNER OF RECORD PROP. a'X 2as' 29 . SCOTT RUDY EXPANSION ` / 'C/O PAUL HUGHES Co 10 ALBA ROAD Scale: 1"= 30' BENCHMARK: TOP WELLESLEY, MA 02481� � � • �-. CORN. BRICK WALL x / EL 32.3' �k 0 15 30 45 60 75 FEET 119.6\XfN�ry1 } SITE PLAN 4 BEDROOM SAS INSTALLED 2007 k / \xJ SHOWING PROPOSED ADDITION AT off 508-3 2-9881 DANIE SS 255 CRYSTAL LAKE RD. fax 508 362-9880 �o�'� D/-,NIEL N OSTERVILLE O ALA down cape engineering, Inc. No,40980 PREPARED FOR Cl VrL ENGINEERS F� �`© LAND SURVE SCOTT RUDYYORS {9N. _Jv y} 939 Moin Street — YARMOU THPOR T, MASS. I' DATE DANIEL A. OJALA, P.L.S. JANUARY 26, 2010 10-018 1.1 li • d . 01.060 7 3,V-r (MATCH 8D6) :a'-aV7 4�-bV7 V2• W-TV2' 19c4y7'. ..19'-4y7'' - 2? '-I V2' 6V7 - ' rDJ-7xB Ol3J-ID/<•O cU.La'O l3J ><4,.:.;.,, .. .. : a1 STUD — — — ---.—� r::::: ''Ra;I&MgOXLr - .. . - -- - ABOVEPAtlO F ----- -------- a L �, O : � •M . - '�.' G�]i.lNC�i � /.. �.i' _ ..rsJ-t3raxlva7Lvl.. F7Ea�ox 8T1JD .� •� II ROOM oA, 1 I ------ L -- -- - --- - RAT _ - - ------�-- -- —— Z- r- 1.. I - HALF WALLS W/ EXISTNew f - - -- J- - -- -- ---�r , BOOKS BIY.KFEAD-�I;• - I 1 STUD IQ „ I t cKSTB o v - a --- i i i `s ftJ.JD,�xla•LVLn A I •. 3J-7x8 F. y vr VAULTED j `P . 1! 9 mV7 V245 w M s BESuCH L DPaTTO it 7 MBATH r ® d) I x rc-= =S KALP I I I - .. I TF? i i - •ei _- I1 II .. i. WALL � U -- C v 1 move v (� GRANrfE : orenwar.. - �-:. 1 "v - © 9 . x SavK - Y• '� A TG,LA68 1. - i i :. i i I B��aJsx 3'-m" cTf�NOFn6 *. O EaoBr. _ CABS. — - I I( I h---- 91 4 v � • . L�RbI�Y � i 'r r EfQ87iPtG. `DOORS elTuo 11 .,r.� l I POCKETS ..I;rL. - I STUD rr• -m" { M-7 V1' { 1 - .� 1 hOCkl:TS o VT.. -: - 112. --.. Liaw SV2` {`� {'dJ' VT T�V{' �` _ 7-ovr n - V .6V2` 3-03/4`O-103/{' V2' 194V8• •®S'-8'VB` 6V7 .. . = I - I 39'-3' :i i V � E1 G...,v... 67dSTTlGHOLM62oV-'./- i - - ,- - Ext9TA1GHOUSE 3•T-4'+/- . �� :. .ulALLB NZW WALLS e2x6W<T.WALLS) Nn=AD— =C* —— ' G �WALLS tosMMsr'rouSHD z . Z RALFWAL,LS ASNOTAD i uIAID oue ti - _. . Er,REse Yd ._ m , • L III 1'• ,2 g i A ' RJ6E'+BZROOF ro .. � Y? _ N II1I EDCSTW ROOF r3 1 Will JU N 8 - POC M f�— o mn L - new 000 ---- ooF } 6F1.0W� " U ON raR.,yr s^w . tl1 � LLa -- . • - b(IBTAIG. ---- -- - eu.t - _ _ - — -- ---- ---- _ 771 ,-- TM b _ - son Date: R � _ .. :,'-; _ ` OQBTMGROOFTO •. - -_ .- - - - - Dfa REPLACED }a N1=w1u,4L.L8. 6SXT•WALLW 'ectNo:AD-6-oca O f2x _ U14LLS 7G 56 Ug}.= s HA LFWALLB EaRfiae u.oDow9 to ASNOTEp � . /2®im, t 1 SYSTEM PROFILE NOTES ALL SYSTEM COMPONENTS SHALL MARKED WITH MAGNETIC TAPE OR TOP FNDN. AT EL. 31.0' COMPARABLE MEANS FOR FUTURE LOCATION. Main St. ACCESS COVERS TO WITHIN 6' OF FIN. GRADE (NOT To 1. DATUM IS APPROXIMATE NGVD ACCESS COVER (WATERTIGHT) TO LOCUS. PROVIDE.INSPECTION PORT TO WITHIN 3' OF FINAL GRADE WITHIN 6' OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING 300. MINIMUM .75' OF COVER OVER PRECAST 2X SLOPE REQUIRED OVER SYSTEM �o � 28.0' RUN PIPE LEVEL 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. *EXISTING FOR FIRST 2 O I ' 2" DOUBLE WASHED PEASTONE �, 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO •*EXISTING'000 , OR GEOTEA E FABRIC H- 10 a EXISTING GALLON SEPTIC..TANK ` 26.5 .. �: .: GAS 26.14' S. PIPE JOINTS TO BE MADE WATERTIGHT. � BAFFLE 26.31 r, 8 26.0' ' AT SIDES 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH Je s CRUSHED STONE OR MECHANICAL MASS. ENVIRONMENTAL CODE TITLE V. COMPACTION. (15.221 [21) go 2' 2.25' AT END to 24.0' Seo DEPTH OF FLOW = 4'_ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO TEE SIZES: BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. INLET DEPTH = .14_ 3/4" TO 1 1/2" DOUBLE WASHED STONE o oun.ET DEPTH = 14" ( 2 % SLOPE) ( 1�X SLOPE) F 8. PIPE FOR SEPTIC SYSTEM TO SCH. 4C-4" PVC. LEACHING 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FOUNDATION EXISTING SEPTIC TANK 15 D BOX 16 FACILITY 6.1 WITHOUT INSPECTION BY BOARD OF HEALTH AND LOCUS MAP *THE INSTALLER SHALL VERIFY THE ** PERMISSION OBTAINED FROM BOARD OF HEALTH. SCALE: 1" = 2,000'�f THE INSTALLER SHALL CONFIRM MIN. ' LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND = 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING- SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE DIGSAFE (1-888-344-7233) AND VERIF1NG THE LOCATION ASSESSORS MAP 139 PARCEL 50 PRIOR TO INSTALLING ANY PORTION OF BOTTOM TH-1 EL. 17.9' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SEPTIC SYSTEM COMMENCEMENT OF WORK. LOGOS IS WITHIN. AP OVERLAY DISTRICT LEGEND 11. EXISTING LEACHING FACILITY SHALL EE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ? 100.0 PROPOSED SPOT ELEVATION 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED I +100.00 EXISTING SPOT ELEVATION LEACHING FACILITY. 100 0 PROPOSED CONTOUR 13. CONTRACTOR TO VERIFY CONSISTENCY OF SOILS IN AREA OF PROPOSED SAS (SEE SOIL LOG.) ENGINEER- TO BE 100 EXISTING CONTOUR NOTIFIED IF THERE ARE ANY INCONSISTENCIES. SYSTEM DESIGN: r GARBAGE DISPOSER IS NOT ALLOWED a LOT 36 k% _ DESIGN FLOW 4 BEDROOMS 0 110 GPD 440 GPD i 29,410 sFt - ~ j �! I `` - - - -- __.. _ __ _ __h USE A 44 GPD DESIGNLUW SEPTIC TANK: 440 GPD (2) =.880. TEST HOLE LOGS **RE-USE EXISTING 1000 GAL. SEPTIC TANK 1 / STON Q 1 G c o�awtc / 1 (�')-\ / DRIVE 1 �, GARAGE LEACHING: ENGINEER DAVID FLAHERTY, R.S. (SAO) . / • SIDES: 2 (40 + 10.3) 2 (.74) = 149 GPD WITNESS: DON DESMARAIS, R.S. i s ��\ /� !> BOTTOM 40 x 10.3 (.74) _ 304 GPD GA SEPTEMBER 13, 2007 ELEC E / \ / DATE: 1 METER �- E STING / DECK TOTAL: 612 S.F. 453 GPD LLING PERC. RATE _ < 2 MIN _INCH _ 1 - pf 2' i USE (5) "3050" INFILTRATORS IN A TRENCH CONFIGURATION I CLASS I SOILS p# 11907px�G c /� i WITH 2.25.' STONE AT ENDS AND 3' AT SIDES tx` /DECIv/, TH-1 ry GARAGE ELEV. I W W W // PATIO sy i 28.9' �� -� �� ` --• ';; MA 0" ; 3� APPROVED DATE BOARD OF HEALTH f " FILL 28.2' '' 8 a/ TITLE 5 SITE PLAN so OAKS LAWN O / OF i A , / --- CEDAR LS GROVE SHED - - ' 255 CRYSTAL LAKE RD. 10YR 3/2 1 11" 28.0' } - (OSTERVILLE) BARNSTABLE, MA B BENCHMARK: TOP ' PREPARED FOR CORN. BRICK WALL LS EL 32.3, x 33" 10YR 6/8 26.1' X1 } BORTOLOTTI CONSTJ A - JANE PRICE C DATE: SEPTEMBER 25, 2007 PERC MS off 508-362-4541 fox 508 362-9880 OF MQ 2.5Y 7/4 I s9�y ���N oF,�yss 9 132" 17.9' oho A H E G , � � ARNE H. oyG� d0 w/7 cope engineering, Inc. OJALA N OJA Scale:1"= 30' A No.26348 N0 GROUNDWATER ENCOUNTERED I I Cl t//L ENG/NEERS N 9 LAND SURVEYORS j HEALTH AGENT WAIVED SECOND T.H. DUE TO SITE RESTRICTIONS a T 939 Main Street - YARMOUTHPORT, MASS. 0 15 30 45 60 75 FEET ARNE �,E ., P.L.S. DCE #07-190 07-190 BORTOLOTTI-PRICE.DWG (DDF)