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HomeMy WebLinkAbout0441 EEL RIVER ROAD - Health 441 EEL RIVER RD. OSTERVILLE A = 114 021 i I M e. p FEE....../4�7.0........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Diinpwml Warkii Tunutrurtiun Prrntit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: "4K,"::� y 1 eL I ... ..... ir........................................................... Location-Address l or Lot No. Owner Address W _ Installer Address �J Type of Building 3 Size Lot.........3V.bt9..Sq. feet ,..t Dwelling— No. of Bedrooms.-_•--•-----------------•_-_____-_____-.____Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures . ...................................................................................................................... W Design Flow.......................as_./.___..__gallons per person per day. Total daily flow..__-_-_____.____.....__.�...._ --------gallons. fx Septic Tank—Liquid capacity.D bgallons Length---------------- Width________________ Diameter.__-.---------- Depth................ Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------/..____- Diameter--------/®..... Depth below inlet....___.6........ Total leaching area...!!41..sq. ft. Z Other Distribution box (✓� Dosing tank ( ) t� f �" Percolation Test Results Performed by..____�jd�it 0..LYYLY_ Ak................... Date...... '.O�_.`_��......... a Test Pit No. 1________________minutes per inch Depth of Test Pit.......F.:..7.... Depth to ground water........ ,J........ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ------------------------------------- - --------- --------------------------------------•......................................................... xDescription of Soil............................. .-3...... �l3 Di1t, , G .............................................................. U - W ----------.--" y4..... ... J �{�y�-�. _�� ............................... --- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable._-__._......................................................................................... Agreement: The undersigned agrees to install the 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 Compliance has been issued by the board of health. Signed ... ? L- � ......- ............... ..�..a9 Date Application Approved By ................. �.. .............. ` ..- Me-.-gam-.- Application Disapproved for the ollowing reasons: _............. - ............................................- ................ .................. Date PermitNo. --------�.7..�,-- ---- ------------------ Issued ....... --..............-------------------------------------- Dare No......l..y:_S".7.3 FR$.......Anaf ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Biripuual Worth Tomitrurt"tun rumit Application is hereby made for a Permit to Construct ( ) or Repair (Vr'an Individual Sewage Disposal System at: V4/ )d 1 Locatiot"-Address or Lot No. ----------------- a f? ..... ........�... s_._.!� T Cam.. .----- ......•-•---•-- Owner Address W Installer Address .--�]7 UType of Building Size Lot.........�.I..E20..Sq. feet ,., Dwelling—No. of Bedrooms._--_•_-_____-_�-----------------------Expansion Attic ( ) Garbage Grinder ( . ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------- - W Design Flow..........................5.'!r._ ...gallons per person per day. Total daily flow-.----------•-____-_-____3.30------gallons. WSeptic Tank—Liquid capacity gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No............✓......... Diameter--------- 0..... Depth below inlet........_ ........ Total leaching area...UZO..sq. ft. Z Other Distribution box (__� Dosing tank ( ) c ~' Percolation Test Results Performed by------�� Y .. !.. _ ��m-................ Date...... 7.......1.4 .. Test Pit No. I................minutes per inch Depth of Test Pit....... .__. ___- Depth to ground water........R._J........ fZq Test Pit No. 2................minutes per inch Depth of Test Pit.-.---- _.________- Depth to ground water........................ R+ ................................ . ............. ---•-----------------------------•-----......................................................... ODescription of Soil............................. ...... :?tl rvl.;.. �_r/�3<�?i1 �._ .1: ...�-----•--------- --------------•----------•-•----••------•----- x �/ I /� / -^.__°^.'./Y.��7 �........_._.�A�/� 11.._..\_.T_A Is_1__ :_�__ /.--`r y/R•8/__- _....-. ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ..-------•---------------------------------•--....-------------•-•------------------•-••--••-----•-----•----•-•...----------------------------------------------------------------•---•------•......---- Agreement: •` The undersigned agrees to install the 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 Compliance has been issued by the board of health. Signed --- ...... ., . . ..... ... ..... .................... .. ./�/a... 9.. ..... Application Approved By ---------- ew�.' - _3 `�'..- 9'- �.�./.... U - Date � Application Disapproved for the o;lowing reasons: ............ . ............... . --. ................................................. .. . . ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----- -------------- ------------ Dace Permit No. ..........7.tr- ' `�.... ...� - ......... Issued .......................................... .... . .... .... Date 5P46LE F.4MJL`( 3 13EDVZOW ' ,�/o GA�f3AC�E 6RIIJnE>Z -RAIL Lou 3X/JD=33D G-P� ( F t SETT-(C TA�1V-- X/SD "¢9S 6�� L)S G /000 eS-,4c. t I�t4tJ ON _DiSFY)AL_ PIT /-/ocbG�L�z srb SIDEWtILL AOeA = ieGSF r 14 'j, C �� lie SF X rZ, = --?o 'FoTToM AazA _ -7 6 SF 43,' t—::C-L. PI 4C-Z, ZAb 7b �r A 1,o = I G►I'D. TbT7\L DE;16 N = ea4 E, 6{fi, �- TorAL DAILY rLoy! _ S-3o GPD OIL , FS2000. 'MoW ¢ATE �yZN OF �. AlcwtRD G\ PETER A. X SULLIVAN BARTER No.24M � No. 29733 �FSS�ONAL END\ T�s r 3.iZb DOLE- 7 T-(=I�f TF E�/0-7 =l4,g ----,T --�rrr— -ax�rfi -nr.Xr?'Z?aT; p V.G• IA*"Sc ,L, ' �„ SZ OIOD f MT b GAL 14 13CK /zz Iz 4 SEprlC GAL 7,8 17,0 7A14L LEAeA t'IT WA69ED') f : AIL St�tucru>zEs s>✓r sToNE MVeE TgA, 4 a' VEW �Gn.4✓st- f ' CeZrlT--I® Rgr Pad N L�-- ' e)STo'Z-;✓ILL. Wn�oZ. TRZq-0saD PLAN 2E�ERQJCZ 1 C F�C[1 Fy 'i�dT WE ,�11ro+'rI��+� %0WU HF-ZE0N (-'OM'PL 5 WITµ TNT 5(VEUWE QEQ, O; vGfC TDWN OF. 'Bk2-j4e7MLy, I,�CC• ZC�d- Q+-iD IS >?'r1-oc,4'•i"�'D ITI� �I T� � �-DI CA ��IS Flh� IS NoT- T3A�� oN AN ItJST>?vti4E+3T PWFLSSlplldl LAUD SuPalL-yo2S 2EJGI NucU Z�,Z'-f AID THE - 4ouLD uur 3E o SgeiLc.E MA U, Cei:-,> T-0 E--�-rwp-LI,5N PPOFE2-Ty U 14e5 QPPLICAWT,' VX6t-:t& M -rJ t 746'tT 2- aF 2 fz,.gAfzt) 4 1�0 y ZlaZi � 4144er 1dc- �`k TX ' 'SEPr' -7, 1qU , i � TAN1L 1 < POOC- c% Av+xrioN 0�V +1 4-1 ab s / YV iNW(. wALL, /Vv- L71 VGZ CTIDAL) OF PETER �N of SULLIVAN RICHARD MO. 29133 Ncx au*o fLs�Q�3TfiA�O�f�tiQ c� t AL E�6 t �` f TOWN OF BARNSTABLE LOCATION Z l U �a�y�_SEWAGE # ® S 73 VILLAGE --ASSESSOR'S MAPi LOT INSTALLER'S NAME & PHONE NO ', UM i2 SEPTIC TANK CAPACITY- j 40 0 . LEACHING FACILITY:(type) ar C`• l 1 S�d6 �size) NO. OF BEDROOMS 3 PRIVATE WELL OR'PUBLIC WATER " BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• VARIANCE GRANTED: Yes No •' s'TANk 3t eox ] � 4 3� �. i v�R -- i DATE - 12/10/97 PROPERTY ADDRESS: 141 Eel- River Road Osterville,Mass. Guest House On the above date, I inspected the septic system at the -above address. This system conslsts of the following: 1 . 1 -1000 gallon septic tank. 2 . 1 -Distribution box. 3 . 1 -4 ' x8 ' flow diffussors. Based on my Intkc�&ctlon, I cerllfy the following coridltlons: 4 . This is a title five septic system-:- ( : 78 Code ) 5 . The septic system is in proper working order at the present time. Name : J , P . Macomber Jr., i -------,--------------- Company:_J_ P_Macomber &- Son- 'Inc RECEIV7 rddress :_ g _bb______a___ ,__ DEC °'. 9 1997 __CCencervilLe `Mass__02632 HEALTHDEF�. TOWN OF BARNSTABLE Phone : 5QZ_Z7..S__3338------- - I THIS CERTIFICATION DOES NOT CONSTI`TUTE A GUARANTY OR WARRANTY �OSEPH R MACOMBER & SON, INC. Tinks-Css-spooIPLorchflalds Pump+d 1. Inst.ill►d Town Sowor Connoctlons P.O. Box 66 ' Centerville, MA 02632.0066 1111 775-3338 775-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS _ DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON. MA 02108 617-292.5500 WILLIA.I F WELD TRUDY CORE Govemor Secretan ARGEO PAUL CELLUCCI DAVID B STRURLS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioncr PART A CERTIFICATION Property Address: 1 41 Eel River Road Ostervi1leAddress of Owner: Date of Inspection: 12 1 0/9 7 (If different) Name of Inspector: jr)P-ph p MA comber Jr. I am a DEP appproved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.Macomber & Son Inc. Mailing Address: BOX 66 Centerville,Mass. 02632 Telephone Number: S()R-77r;_-j'j'j$ CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true. accura!e and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: A � Date:4�k _01f The System Inspector all submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this :nspection 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 repon to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AJ SYSTEM PASSES: _ZI have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15 303 Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: jJ& 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. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. Ld The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection, or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or ex-filtration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (ravisod 04/25/97) Page 1 of 10 DEP on the Worid Wide Web: http:/twww.mapnet.state.ma.uydep t� Printed on Recycled Paper L_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Properly Address: 141 Eel River Road Ostervi lle,Mass . GUEST HOUSE Owner: Stephen Weiner Dale of Inspection: 1 2/1 O/97 B) SYSTEM CONDITIONALLY PASSES tcontinued) ,VS Sewage backup or breakout or high static water level observed in the distribution box is due to Dro'ker or pipets) or due to a broken, sealed or uneven distribution box. The system will pass inspection if iwith appro,a; o: :^e Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four limes a year due to broken or obstructed pipe(s). The system will Dass inspeclron if (with approval of the Board of Health): broken pipets) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: A)A Conditions exist which require funher evaluation by the Board of Health in order to determine if the system 15 fadhng to Dro(ec. :ne public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING I.N A •MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: &fb Cesspool or privy is within 50 feet of a surface water ,ff�) Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETER'�tiINES THa0 THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water svpp,k o' tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply -ell The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water suDD!. -e • The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 ieet or more iron, a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compo.;nes nc,ca'es !na: the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen s K-a: to o, less than 5 ppm. Method used to determine distance VA (approximation not valid) 3) OTHER )revised 04/25/97) page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 141 Eel River Road Osterville,Mass. GUEST HOUSE Owner: Stephen Weiner Date of Inspection: 1 2/1 0/97 DJ SYSTEM FAILS: You must indicate ei;•.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303 The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No ' Backup of sewage into facility or system component due to an 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. 21 Static liquid level in the distribution box Bove outlet invert due to an overloaded or clogged SAS or cesspool �a�Qli��u Stark U> �uS�'rs Liquid depth in rsecspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped .0—. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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 If the well has been analyzed to be acceptable,acceptable water quality analysis. table, attach copy of well water analysis for Y P coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: 4 . The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply /0 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/91) Page 3 of 10 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 14.1 Eel River Road Osterville,Mass. GUEST HOUSE Owner: Stephen Weiner Date of Inspection: 1 2/1 0/9 7 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes N Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. YThe system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. 4 _ All system components, ., luding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baFles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. — The size.and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sut•-Surface Disposal System. _ Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (revised 04/25/97) P&p• 4 of 10 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^AC C DATA TOWN OF BARNSTABLE IL Sf c L�'ATION , .�D SEWAGE # 1 -L4 V LLAGE Ofr-n..�lr< ASSESSOR'S MAP & LOT y 00� INSTALLER'S NAME & PHONE NO. 0-7-4/31 � ;EPTIC TANK CAPACITY r� LEACHING FACILITY:(type) ? �*'sy 711� (Size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER. BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 'A i. A 1j" u: `-���JJJ o 1 %1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 141 Eel River Road Osterville,Mass . Guest House Owner: Robert Weiner Date of Inspection:1 2/1 0/9 7 FLOW CONDITIONS RESIDENTIAL: Design flow. ^ B.p.d./bedroom for S.A.S. Number of bedrooms:-9— Number of curren: residents: Garbage grinder (yes or no):_,d/o Laundry connected to system lyes or no): c'$ Seasonal use (yes or no):� s Water meter readngs, if available (last two (2) year usage (gpd): �()ht 74- ; P-4/"'0. Sump Pump (yes or no):-&JZ ((�/'f/a /�!¢i%tI ill r l°✓�7 Last date of occupancy ffl—uk_ COMMERCIAUINDUSTRIAL• 1 Type of establishment: X Design flow: W allons/day Grease trap present: (yes or no)A4 Industrial Waste Holding Tank present: (yes or no)./,4 Non sanitary waste discharged to the Tale S system: (yes or no)A1,4 water meter readings, if available. A119 N4 Last date of occupancy: N1 OTHER: (Descnbe3 AA Last date of occupancy:_ GENERAL INFORMATION PUMPING RECORDS j d source of information: ) / System pumped as part of inspection: (yes or no),LO If yes, volume pumped: /V,4 gallons Reason for pumping TYPE OF SYSTEM _Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool '()L Privy .G-U Shared system (yes or no) (if yes, attach previous inspection records, if any) _'4 I/A Technology etc. Copy of up to date contract Other IV4 APPRO IMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no)_ (:.vi..d Y.y. 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 Eel River Road Osterville,Mass . GUEST HOUSE Owner: Stephen Weiner Date of Inspection: 1 2/10/97 BUILDING SEWER: ,locate on site plan) Depth below grade. / Material of construction /Cast iron Z/40 PVC — other (explain) D�sLance from Hivate water supply well or suction line D ameter y Comments (condition of joints, Yen ing, evidence of I akage, etc.) 1 0 c ) / Al SEPTIC TANK:—avlw'/' ti 5 locate on site plan) Deptn below grade:/GY material of consuunion: concrete _metal _Fiberglass _Polyethylene _other(explain) If ;ank is metal, list age,d.�Z Is age confirmed by Certificate of tComphance LJ (Yes/No) Dimensions , /;&- S uage depth:_ Distance from top of sludge to bonom of outlet tee or baffler Y 17►� a Scum thickness (_ D,stance from top of scum to top of outlet tee or baffle: Distance from bonom of scum to bonom of outlet to or baffle r:ow dimensions were determinedJ4 Comments trecommendanon for pumping, condth of inlet and ou let tees or baffles, depth of liquid level in relation to outlet invert, su c;r; nie nn, evidence of leakage, etc. / Be lie 6.�c CREASE TRAP: Oocate on site plan) Gepth below grade Ji�/ �atenal of construuiron tWconcreteAl Lmetal�iberglass4/4PolyethyleneVi.tbther(explain) AiiI! Dimensions: 144 Scum thickness: Distance from top of scum to top of outlet tee or baffle:,1A Disrance from bosom of scum to bonom of outlet tee or baffle:-IVA Date of last pumping: AW C�mmenls: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struc,,:ra ntegriry, evidence of leakage, etc) Ir.�l..d P.9. 6 of 10 L f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 Eel River Road Osterville,Mass . GUEST HOUSE Owner: Stephen Weiner Date of I nspection:1 2/1 0/9 7 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade:-&L Material of construct ionAA concreted metal V,4Fiber las APoI eth lene ,4other(ex lain) _ � _ g L� Y Y _ P Dimensions: A/I Capacity: AIA gallons Design flow: ==1��gallons/day Alarm level: Alarm in working order f/!C 1'es;.!//9 No Date of previous pumping: Comments (condition of inlet tee, condition of alarm and float switches, etc.) T G" DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER:41?li4,,V (locate on site plan) Pumps in working order: (Yes or No)— Alarms in working order (Yes or No)—'&'!!� j Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revis•G 04/25/97) P-90 7 of 10 I 1 + � �y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property AddressA 11 Eel River Road Osterville,Mass . GUEST HOUSE Owner: Stephen Weiner Date of Inspectionl 2/10/97 SOIL ABSORPTION SYSTEM (SAS):_ :locate on site plan, if possible; excavation not required, but may be approximated by non intrusive methods) If not determined to be present, explain: Type: leaching pits, number: O rl�' � n���N� 1td"' leaching chambers, number: l" leaching galleries, number: leaching trenches, number,length: U' leaching fields, number, dimension overflow cesspool, number:Q Alternative system: Name of Technology: i Comments: (note conditl n of soil, signs of h draulic allure, level of ponding, condition of ve eta( n, etc.) PP CESSPOOLS: 2,�22',e (locate on site plan) Number and configuration: Depth-top of liquid to inlet invent A14 Depth of solids layer: /07 Depth of scum layer: Dimensions of cesspool. Materials of construction: indication of groundwater: �— inflow (cesspool must be pumped as pan of inspection) �Sr9�d c N ljyc ,GtB se�J7" Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) AUOTS�.rrJ PRIVY: (locate on site plan) Materials of construction: I/oz Dimensions: tir9 Depth of solids: Comments: (note condition of soil, signs pf hydraulic failure, level of ponding, condition of vegetation, etc.) (r•vised 04/35/97) P•g• 8 of 10 J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propert) Andress: 141 Eel River Road Osterville,Mass . owner: Stephen Weiner Date of inspection 1 l/1 0/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: �n. '';de ties to at least rwo permanent references landmarks or benchmarks locale al; wells within 100 (Locate where public water supply comes into house) GUEST HOUSE C'LC �- 3-t C7 6� L R'bi 6_ *' (r•v:.•CG.r/7i/I7) O P•y• 9 of 1 �0y 4Nq�r t.. �i SUBSURFACE SEWAGE DISP.. t. SYSTEM INSPECTION FORM I C GUEST HOUSE SYSTEM INFOI iON (continued) Properly Address: 141 Eel River Road Osterville,Mass. Owner: Stephen Weiner Date of Inspection: 1 2/1 0/9 7 J Depth to Groundwater IV Feet Please indicate all the methods used to determine High Groundwater EIi?•a:ion: Obtained from Design Plans on record observation of Site (Abuning property, observation hole, basemtnt's-imp etc.) Determine it from local conditions Check with local Board of health Cneck FEMA Maps 4//Cneck pumping records ::/Ceck local excavators, installers t_'se USGS Data Describe in your own words how you established the High Groun�aicrElevation. (Must be completed) Used Board Of Health Map. Town Of Barnstable groundwater contours map. Designed by Gahrety & Miller Model December 16 1994 li�vlrr.0 0//75/97) Pic. of 10 nr.nr•.—n:rv—ter tir-r.-l+r.•nrs-rrrnnrm.rr.T.:•.�.+-.•a.r:-ra-e-nr�m-tiv nar.rsr..r•c+ .. �• TOWN OF Rarnstahl e DOARD OF IIEALTII 'f Sl1IfSURFACF SEHAGF DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION \� �•••-•'• T"".:♦-�.f, ��.T.T.11•lf.'tTITTSTt1TTrT•.•1f11T11RR1.T-•9"1rTTIRV"JT�iTIM1T7 RRI t1TiTl'TPSI9TTT'�t7T.:-.I•I'r'T•1. .-. -TYPE OR PRINT CI,CARLY- PROPERTY INSPECTED GUEST HOUSE STREET ADDRESS 141 Eel River Road Osterville,Mass . ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Stephen 4IeINER PART D - CERTIFICATION r NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J•P•Macomber & Spy Inc. COMPANY ADDRESS Box 66 Centerville Mass. 02632 Street Town or City Stat• ZIP COMPANY TELEPIiONE ( 508 775 _ 3338 FAX ( 508 1 790 - 1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time ofeinspection , The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : _zsystem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or Lhe environment as defined in 310 CMR 16 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con acted has found that the system fails to Protect the 'public health and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA. of this inspection form . Inspector Signature Date 12/10/97 One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the r30ARD OF HEALTII, * If the inspection FAILED, the owner or operatorshall u d within one year of the date of the inspection , unless allowed ort required he m otherwise as ;provided in 3.10 CMR 15 . 305 , partd . doc J � t U1 - Z7 � f'7 ti SS '� THE COMMONWEALTH OF MA.SSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT INN O WN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERMU D TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws . Issued by The Department of Environmental Protection. Junc a lw AcunR Dircctor of the � 1 wn uC Witcr Pollution�Cootoj t�ti� i DATE : 12/10/97 PROPERTY ADDRESS : 141 Eel River Road Osterville Mass . Main House i On the above date, I Inspected the s-eptic system at the -above address. This system consists of the following: 1 . 1 -2000 gal.lon. septic tank. 2 . 2-4 ' precast leaching pits . 3 . 1 -Distribution box. Based on my Inec�-ection, I certlfy the following condltlons: 4 . This is a title five septic system."' ( -78 Code ) 5 . The septic system is in proper working order at- the present time. 6 . Pumped septic tank. Heavy scum and solds 'layers existed. 'SNGNATURr : G✓�l ,� /, Name :-J . P . Macomber Company:_�. P_Macoa)ber &- Son_Inc . FDEC IVE® Address :_-gcac_bb------�--- --- 9 1997 Centrville Mass ; •02632 ------e----- -- HEALTMQCFI. TOWN OF EAFiNSTA3LE Phone : SO.8._17_5_3338-----__ I THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY )OSEPH P, MACOMBER & SON, INC. T&nki-Cgs.spooh LsKhfIeIds Pumprd L InsUllyd Town Sowor Connectlons P.O. Box hG ' Centerville, MA 02632.0066 7 7 5-3 3 3-8 7 7 5-b-412 0 COMMONWEALTH OF MASSACHUSETTS ,1 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS _ �C DEPARTMENT OF ENVIRONMENTAL PROTECTIO\ ;.� ONE WINTER STREET. BOSTON, MA 02108 617.292.5500 N ILL1.4N1 F 'A ELD TRUDY COXT Gos cmor Sccrctan ARGEO PAUL CELLUCCI DAVID B STRUH-S Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION Property Address: 141 eel River Road Osterville Address of Owner: Date of Inspectional 2/10/97 (If different) Name of InspectcrJOseph P.Macomber Jr. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.MACOMBER & Son Inc. Mailing Address: BOX 66 Centerville,Mass , 02632 Telephone Number: S 0 8_'7'7 5_-j'j*j R CERTIFICATION 'STATEMENT I cenify 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: asses _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: / r Date: /1- The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (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 repon to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: 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. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection: or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revis*d 04/25/97) Page 1 of 10 DEP on the World Wide Web: httpJlwww.magnet.state ma usrdep Printed on Recycled Paper i r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address. 141 Eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection: 12/10/97 B) SYSTEM CONDITIONALLY PASSES (continuedi Sewage backup or breakout or high static water level observed in the distribution box is due to oro"en or oos:'_cec pipe(s) or due to a broken, senled or uneven distribution box. The system will pass inspection if (with aopro�a; c•' :�_ Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipets!. The system —i! pass inspection if(with approval of the Board of Health): broken pipets) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ,il!)0 Conditions exist which require funher evaluation by the Board of Health in order to determine if the system is failing to protec,, the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING I.ti A M%ti"ER WHICH, WILL CT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: � �/44OTE-Y r . 4&"P4QI_or privy is within 50 feet of a surface water I or r`vy is within 50 feet of a bordering vegetated wetland or a salt marsh. AMP-Nl- 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE DE7ERtiiI,,ES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water s.:pp:, ol, tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water soppy, we!. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more irom a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds nc cates tna: the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is ee.a' .o o, less than 5 ppm. Method used to determine distance (approximation not valid) I 3) `OTHER 'Yl` (revised 04/25/17) Page 2 of 10 f (" SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 141 eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection: 1 2/1 0/9 7 D) SYSTEM FAILS You must indicate ei;-.er "Yes" or "No" as to each of the following: VV I have determined that the system violates one or more of the following failure criteria as defined in 310 Ch1R 15,303, The bans for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an 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 th,q distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in ce-PoQ is less than 6" below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe($). Number of times pumped Q. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No &A the system is within 400 feet of a surface drinking water supply /f0 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1.41 eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection:1 2/1 0/9 7 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes N / Pumping information was provided by the owner, occupant, or Board of Health. _ _✓ None of the system components have been pumped for at least two weeks and the system has been receiving normal Flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. — A<,built plans have been obtained and examined. Note if they are not available with N/A. — The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. 41 — , All system components,0�luding the Soil Absorption System, have been located on the site. — The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum / — The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if djfferent from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. — Existing information. Ex. Plan at B.O.H. — Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)] (revised 04/25/97) Pegs 4 o1 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 141 Eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection:1 2/1 0/9 7 FLOW CONDITIONS RESIDENTIAL: Design flow. (,� 'yQ p d./bedroom for S.A.S. Number of bedrooms: Iff Number of current residents: Garbage grinder(yes or rio): ee Vo Laundry conneced to system (yes or no): J Seasonal use (yes or no):&S Water meter readings, if available (last two (2) year usage (gpd): Sump Pump (ye!, or no): �72_':T0 AQ Last date of occupancy: COMM ERCIAUINDUSTRiIAL: �'cy�f:� �. Type of establishment: 4).4 Design flow: ,(l14 gallons day Grease trap present: (yes or no)AIl4 industrial Waste Holding Tank present: (yes or no)-AL4 .Non-sanitary waste discharged to the Title 5 system: (yes or no)1l Water meter readings, if available._ 'IVA 164 Last date of occupancy: A-1l4 OTHER: (Describe) Last date of occupancy: Al GENERAL INFORMATION PUMPING RECORDS and source of information: rt yr Al*kM . System pumped as pan of inspection: (yes or no) If yes, volume pumped: gallons Reason for pumping o y �4 t CBL✓� �lft�t7/^ TYPE OF YSTEh1 Septic tank/distribution box/soil absorption system Single cesspool X Overflow cesspool Privy Shared system (yes or no) (if yes, anach previous inspection records, if any) I/A Technology vc. Copy of up to date contract? Other itI4 APPROXIMATE AGE of all components, date installed (if known) and source of information: V _ � y 51�, 4v57 4.48� -5-07-41 Sewage odors detected when arriving at the site: (yes or no) :revised 04/25/97) ➢.9. 5 of 10 U TOWN OF BARNSTABLE LOCATION R D SEWAGE # 93 _3; VILLAGE OJTc:' yi(( -e, ASSESSOR'S MAP & LOT O o g INSTALLER'S NAME & PHONE NO. �1 ). .De�.1,LeD — Y77'(c7�.1 SEPTIC TANK CAPACITY p�i O oC, LEACHING FACILITY:(type)J- Lc,,,�T ll� (sue) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: ti �.•. Cy� S DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No C/ Z t� .•4�LJ t•PyYiM�. 'yF�. i �Mips v. }t . V 1• rY�� r F y. 4-D Y - bI }{ r rp. t r iz1 1 � x} h� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property address: 141 Eel River Road Osterville,Mass . Owner: Stephen weiner Date of Inspection:1 2/1 0/97 BUILDING SEWER: ,locate on site plan) / Depth beloA grade. Material of construnion Zcast iron 20 PVC _ other (explain) D,stance from private water supply well or sunion line Diameter , Comments tTondincin of joints, vent. g, evidence of leakage, etc r .) 44 S Li 7S opt d ' SEPTIC TANK:.gzv f'4 5 ioca:e on s,te plan) it Depth below grader Material of construnion: -EC/Oncrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age,&/4 Is age confirmed by Cenificate of Compliance . (Yes/No) Dimensions Slvcge depth Or Distance from top of sludge to bonom of outlet tee or baffle: d Scum thickness Distance from top of scum to top of outlet tee or baffle: �r44 Distance from bonom of scum to bonom of outlet to or ba le "ow dimensions were determined: /!i �! Comments trecommendation for pumping, cond t n of inlet and outlet tees or aHles de th of Itq vd level in relation to outlet inven, str cvra ntegriry, evidence of leakage, etc.) 1 1 i ! 213 /L I GREASE TRAP,un,�� tlocate on site plan) Depth below grade:-A& raterial of con st run ton%-VAconcrete. meta► Al'iberglassti/;PolyethyleneoLAother(explain) Dimensions: Scum thickness. A14 Distance from top of scum to top of outlet tee or baHle:�i� Djstance from bottom of scum to bonom of outlet tee or baffle:- Date of last pumping: _� Comments Irecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet inven, stru(7 — .ntegrlry, evidence of leakage, etc.) (r.vi..d 04/25/17) P.g. 6 of 10 f f� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 Eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection: 1 2/1 0/97 TIGHT OR HOLDING TANK: S{/�(Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grader Material of construction:,([A concrete,2metal .r Fiberglass�l�Polyethylene,c�other(explain) .4�0 164 Dimensions: A1l9 Capacity: " gallons Design flow-: ==LA�gallons/day Alarm level: Alarm in working order,L YesW,4 No Date of previous pumping: CO Comments. (condition of inlet tee, condition of alarm and float switches, etc.( f t .�11 i'i!Sr_'ti7 DISTRIBUTION BOX:, (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if Ipvel and distrib tion is equal, evidence of solids carryover�vidence of leakage into or out of box, etc.) / J x i PUMP CHAMBER:Z-�4!e- (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No)�� Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (r.via.0 04/25/97) Pig. 7 of 10 f r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 141 eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection:) 2/1 0/9 7 SOIL ABSORPTION SYSTEM (SAS): .locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: T ype j-6od 9. leaching pits, number: /r leaching chambers, number: 0 leaching galleries, number:= leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:0— Alternative system: Name of Technology: t ?41e— Comments: in condition of soil, sig_s of hyd aulic failure, level of po ding, condition of vegetation, etc.) r CESSPOOLS:,d,We (locate on site plan) -Number and configuration: A,14 Depth-top of liquid to inlet rnven: A)14 Depth of solids layer: 'fM Depth of scum layer: AW Dimensions of cesspool: ALA materials of construction: .� Indication of groundwater: AM 9� inflow (cesspool must be pumped as pan of inspection) ti4 Comments: n f it signs f hydraulic failure level of ondin condition of vegetation, etc.) mote con �t o o so s g s o p g, PRIVY: &60e— (locate on site plan) materials of construction: Dimensions: Depth of solids:, Comments. (note condition of soil, signs pf hydraulic failure, level of ponding, condition of vegetation, e,:c.) trevls•d Pag• 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propene Acdress:l 41 eel River Road Osterville,Mass . O:.ner. Stephen weiner Date of I^spiC1ionl 2/1 0/9 7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks ocale all wells within 100' (Locate where public water supply comes into house) CL r '9r ,•�,, '��". �`� '� N it tsR T ter, r SUBSURFACE SEWAGE DISP . SYSTEM INSPECTION FORM r C SYSTEM INFOI :ON (continued) Property Address: 141 eel River Road Osterville,Mass . Owner: Stephen Weiner Date of Inspection: 2/10/97 Depth to Groundwater � Feet Please indica(e all the methods used to determine High Groundwater Ele,ation: Obtained from Design Plans on record Observation o{ Site (Abuning property, observation hole, basemtnl-s imp etc.) —AzDetermine it from local conditions Check with local Board of health Cneck FEMA wraps Check pumping records Check local excavators, installers Use USGS Data Describe n your own words how you established the High Groundo,rerElevation. Must be completed) Used The Town Of Barnstable Groundwater Contours Map. Designed by Gahrety & Miller Model December 16 1994 I . 10 �:+•rr�-+.-n:r:—•r•�- rx'rmr•nis+rrrtnmr.rr..r:-.�+-++mr:.rrs+•n-rm� . TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION �_ �•.•-.--r•.•..,--.::r.-.--rin:rT•n.+r+r•�rrr.rrtr�T•r-r-•.•t.-.*r+r�ss•+mr-Tmr�.as��nr^marssn•+cr•� rsm n�mr+r'srv-Tr.+rr+r.:—.rrrr--,. -. -TYPO OR PRINT CIXARL1•- PROPERTY INSPECTED STREET' ADDRESS 141 Eel River Road Osterville,Mass. ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Stephen Winer PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son Ind".` COMPANY ADDRESS Box 66 Centerville,Mass . 02632 Street Town or Clty S t a t 0 LIP COMPANY TELEPHONE ( 508 ) 775-3.338 FAX ( 508 1 790 - 1 578 .S CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of .inspection . The inspection was performed and any recoinmendat ons regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one ; �ystem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* \\ The inspection which I have conducted has found that the system fails to Protect the public health and the environment in accordance with Title 6 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signatur 1 ! Date 12/1'0/97 One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the BOARD OF 112AL1'll. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection , unless allowed or required otherwise as provided in 3.10 CHR 15 . 305 . partd . doc ifs f 1<�> r• �4 v W Ul Z7 7 �'7 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMIENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualificatigns as required and is hereby authorized to use the title CER i i D TITLES SYSTEM INSPECTOR as provided M 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws_ Issued by The Department of Environmental Protection_ 1unc a 1995 Acting Dirccior of (tic [ i 1011 of W21cr Pollution Control X T 41 �l / Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '° �6 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes - 0(pph cation for �Di000ar 6peum Comarurtion i3ermit Application for a Permit to Construct()Q Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. -AA l EsL '0�V L--C 'QrQ Owner's Name,Address and Tel.No. -AZ&—G t 6 6 0126TE-e-4 LLC_ )r\l MC- cell-,- Assessor's Map/Parcel 4 / 2 1 .44 k < 05 Me,V t LLG Installer's Name,Address,and Tel.No. Desi ner's Name,Address and Tel.No. 422 —33`44 Type of Building: Dwelling No.of Bedrooms J Lot Size sq.ft. Garbage Grinder(�(� Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures e�tsotiu d�c+,2� L Design Flow gallons per day. Calculated daily flow gallons. Plan Date 2- Z Sl 99 Number of sheets 1 Revision Date _5/1�/99 Title w ,iM eL.^YU I Y n-o PCs ED ';5 E:PT1 C. y,,% Size of Septic Tank iszno aA,LuDL-kS Type of S.A.S. IOx4S -E<�E�t1�6 CN�P..►.c� S Description of Soil 3~O - n;' -"7 E Qc) — 20 C_ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this Boar Health. l Signed Date Application Approved by Date Application Disapproved fort follo ng reasons Permit No.h9_1 A Date Issued d' .• / / 1: . r ; Fee - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes 'PUBLIC HEATH DIVISION.- TOWN OF BARNSTABLES MASSACHUSETTS 0[pprication for �Misspaal *potem Construction Permit y Application for a Permit to Construct(K)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.-AA 1 t.E L 12\\)I--e f.ta Owner's Name,Address and Tel.No. A Z8—Co O O Assessor's Map/Parcel A A 1 EEC Z\V&Z- '� , 1� 4"�21 C6i€c�vIt_cG Installer's Name,Address,and Tel.No. Dessi ner's Name,Address and Tel.No. 'A28—33 A y- �I�y2 , �ULLI VAArV �t Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder 46 Other Type of.Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures ' oTM\AA k.Lr=,O, L Design Flow 3 gallons per day. Calculated daily flow '`'^3�3 gallons. Plan Date 2 Z S 9 Number of sheets i Revision Date 3/11/99 Title S 1 IZ QLt),vU 0—Q,-bsGD _ Size of Septic Tank I sno 6�A L-I.JOLA S Type of S.A.S. I tax45 eA-t_14 6 Description of Soil '✓`U D 6'-7" '�" �()` r * Qp 1ZU (~ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliancy has been issuSA by this Boar Health. p Signed yzoml Date "= l _ Application Approved by ""`~ --'"` F ' Date tfis- �,, Application Disapproved for t folio ing reasons f'.. _41 Permit No.g� 1I Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(X )Repaired( )Upgraded( ) Abandoned( )by _� -- at 441 F CJ- Q 1 V C L P.0 V5 T_Z4 1 1,.t has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -/Z dated Installer Designer .- r 7/t� The issuance f t ds e 1 t/shall not be construed as a guarantee that the s s m W.:I unction as t�s�gned_' �} Date ! g Inspector ��/V�l�f/t_.- t'1. �?P 7i i f't( fi --------------------------------------- No. 7,7 Fee /0,--) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS witpotal *pgtem Construction Permit Permission is hereby granted to Construct(x )Repair( )Upgrade( )Abandon( ) System located at 44 1 y E e)`, Q y t t_L C and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. i Provided: Construction mu/be co pleted within three years of the date of th' e n irj/ I - Date: Approved by TOWN OF BARNSTABLE LOCATION —1 y I e IClvd- - CG 4r*A6 i;-') SEWAGE # " L VILLAGE A` ASSESSOR'S MAP & LOT INSTALLER'S NAME do PHONE NO. M:0.c C�1 l cr' SEPTIC TANK CAPACITY LEACHING FACILITY: (type)-900S'A C'hA►+,Lez — S^ (size) JO x�T NO. OF BEDROOMS BUILDER OR OWNER HeC` PERMITDATE:3- � 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 leaching facility) Feet. Furnished by 1 S J 0 o TOWN OF BARNSTABLE POO LCC-ATI>>N —1 Ll I Pe 416 � SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO-S SEPTIC TANK CAPACITY /-50 O 6 S oaS4 C/Art /c2 — S�LEACHING FACILITY: (type) /I b (size) /O X�T NO.OF BEDROOMS BUILDER OR OWNER c e L4 PERMITDATE: v l I q1 1—COMPLIANCE DATE: 1,11A AN Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist . within 300 feet of leaching facility) Feet Furnished by LCA 0 e 1 gpRN�CO N ......... �! THE OMMONWEALTH OF MASSACHUSETTS SUBJECT TO APPROVAL F BOAR® OF HEALTH AP o �o - BARNSTABLE CONSERVATION .................. -- ..........OF.... ---------------------------- COMMISSION Appliration for Disposal Works Tonstrnr#ion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair 1v an Individual Sewage Disposal System at 44 k..F i�:t-.siv. ... :Pl . ............... .. . .P t 1A..---� ...s-1................................ Location-Address : o. Lot No. Ownq Ad ss w :.. ..... ..._ � ... _..._. 1 �.. Installer Address .� d Type g •• ••-•q. LSq. feet - T e of Building ll Size Lot_ .��0 _._ Dwelling—No. of Bedrooms. ...........Expansion Attic ( ) Garbage Grinder `4 Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow........... .5........ ®_.__,,gall. ons per person.,per ay.��Total daily flow_-_1 0..........................gallons. �iJ. OSeptic TWVRO iquid capacity.- ...gons LengthC 16..itZ:-�Widt1{--�07�'��iameter................ Depth. �/ x Disposal ........1_1.----.... Width--•---Z--•----... To Length--��-'.4......... Total leaching area..Gq.3---.sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by ' ........... Date... 9 � ............ a Test Pit No. 1...... .....minutes per inch Depth of Test Pit...9s P.._.__.. Depth to ground water....$."5_......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water______...__-___----____. O Description of Soi1..T F-_� j..... .... -y•_--Q- I _ _��`. _� 1.... ....e. - .F� ..._. ..F-- U --•------ •---------------- ���a�l ._ 1�. _.. _' _ ...--•-•-•-•-----------•--.....----.....-------•-------•--------------........--•---------------------. W UNature of Repairs or Alterations—Answer when applicable._................................................................................_........_..... ----•-....----•-------------•••---------------------.-----••-------...--•--......--•••••••-•-.----•••---•....--------------•----•••-----•-•-----•-•-----••---------•-•-•---•--•----------•.............. Agreement: The undersigned agrees to install the aforedescribed Individual..Sewagg-DL sposal LSy to n�in�a� or�d�nce with the provisions of'1`12 5 of the State Sanitary Code— The undersigned if 'i r�agr. S tree-Eplacervhe,syst em`m operation until a Certificate of Compliance has been issued by the board-ofil%ffth1A WAS INSTALLED IN STRI l ,ORDANCE TO PLAN. Signed.................................................................................... ................................ ` ale Application Approved By-- ly�D .LEA "'`" = .- Date Application Disapproved for the f oing reasons:....................................... ......... ........... - ---•-• K - Da PermitNo.......................................................... Issued-..................Date................................ Date sNo.. ...._....._..----- Flea............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH v�Jp,..► ..........OF....�PsR1.S. qIRL..t........................... Appliration fear .Dispersal Works Tonstrnrtion Vamit A Application is hereby made for a Permit to IC tistruct ( ) or Repair S tem at an Individual Sewage Disposal s 4 f.F--L. tom .... ......N!-P..l- ....... - -.1................................ Location-Address 1 or Lot No. .......-•..............► ::�: ', - � - ....... ....-.......................................... Owner . Address W Installer Address Type of Building l Size Lot.3.Z�Q nt Sq. feet Dwelling No. of Bedrooms..�:��J.._.+_�..)-----------Expansion Attic ( ) Garbage Grinder Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .......................................................................-.............................................................................. d W Design Flow............. ..P-_........._a...__;_. allons per person per ay.��Total daily flow-___T10 gallons. C14'IWOSeptic T�W_'7_110 capacit ___ •55-ga?ons Length ..4 .1�-�JVidth4.:�0 a$Diameter................ Depth.!±/0._.. Disposal ........I-_�.._.... Width-.__.16. ........ To Length. _....._._. Total leaching area.._6._ ,3....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin tank ( ) Percolation Test Results Performed by�T 'C_ __.l? . ........... Date... Test Pit No. 1.....!:L.....minutes per inch Depth of Test Pit... .... Depth to ground water.... .._` ......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W' _ .. O Description of Soil--•-1--•1--••_A.f•••_.Q•`.3......L �s� �_u$c�U_I-�... �Zr��_ ._3... --9-.- � �A-•--••-•••--------••--•---•-------- 4b..AN-b...�-�__1ZIW1 CL...'..--•---------------------------•--•--.......------�-----------...---------------......_.._... W ----•-----••-----•----------•-----------------------•--•-•-•------•-••-------------------------•••------•--•---•-----••-•-•------•-•---•------------••--••---•-••---...-----•-------•-•--•-----•-•---••. UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. --------•-----•-•--•-••--•--•------•----•--•---•••-•-•••-•-•-•------•-----•----•-••---•-----•...................••---------------•--....-•--•----•-•-----•-•---••--••--•••---•---........---•-..._•••--. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed..................................... "-------------- ---•---•----------__-••-----.._. Date �� a z ' Application Approved By-•--A•leP.l. '� �.�_•; ......... ----------•--•-••--•................. ,. - .....d -- {)ate `3 Application Disapproved for the following reasons:...................................................................... ................................ - ............ ._...._ ..._�� c__-- aF._ Date �. ,l t Permit No......................................................... Issued-...................................................._.. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ffrrtif irate of Tom4llianrr THIS9 r CERT ....................... ----•-• -•----•---••-••_••--------••--...-•---.............•--•--•----•-----------•--•••••---•--•-•---•••- Installer . ••---•••--------•-----•-••.............•---------------•--.........---•-------......_..-•-••••---------•-- .has been installed in accordance with the provisions of TITeITE 5 of,.,The_State Sanitary Code as described-in the application for Disposal Works Construction Permit No.....,.r�.......t:�JL 7.,S...__...... dated_--.._--__ :-... ..:. __. g_._... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... s 1 — 2.1 � THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ` ,L _ j OF.......... . ���/�.. . �1A�. .....:��............. Noy. .......... ... .a R� FEE........................ 14sposat Vorko. —Tou grn # an_ rrnti Permission is hereby granted............ ,.Ly:......................... .. . %- =--•- ............................................ ............ to Con tru t`(, ) o Re air ( ) an I dividual Se }wage Dif sal; ystem .... Works Street as hown on the application for Disposal Construction, Permit No__._._ fit_ Dated________......7._.. ... ......... .........1\6 ............. _......_ �� h"""'•� J )SATE•---•---..._•-•_._...iLl....----/.........!--•-...••------•--•----•-__••-•---• f/ F 1255 HOBBS & WARREN, INC.. PUBLISHERS '� '" THE TOWN OF BARNSTABLE l T � � re4'P�S `w OFFICE OF B`L a BOARD OF HEALTH wu gip 367 MAIN STREET HYANNIS, MASS. 02601 Sewage Permit Applicant C Proposed Ins alleer, The plan f the on-site sewage disposal system at � / l ' has been approved with the condition that the design engineer must be on-site and supervise installation as well as certify in wri-ring that the system was installed in strict accordance to the approved plan. Approved By Date r r t �, ; ■■ TOWN OF BARNSTABLE LOCATION�� /,f- ��'�%� >i� SEWAGE # VILLAGE_ O� fPi--, a lle- ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. I P '2 y o 3 SEPTIC TANK CAPACITY 000 LEACHING FACILITY:(type) (size) NO. OF BEDROOMS ? PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE"PERMIT ISSUED:' DATE COMPLIANCE ISSUED: � . 2 VARIANCE GRANTED: Yes No� 74 A -9 r3 �, ql go b `t j RIV,FR `' � Exist. Dock See Neck ~= arker EELS``. SE3-/939 ► p z -� 6 NQTES DESIGN DATA . o o `a 18 ' . 1.Water Supply ForThis Lot Is Municipal Wafer. 3 Bedrooms-No Kitchen With no Garbage Grinder 3 Location of Utilities Shown on This Plan Am Approx. D ily Flow=110x3= 330GPD . � .•� � „� �„� At Least 72 Hours Prior to Any Excavation For This Septic Tank:330 GPD x 2000/.=660 GPD / Project The ContractorShallMske The Required Use 1500 Gallon Septic Tank • '�\ r \x.��. ; •© '„r; v E •' Notlflcatron10DIg Safe(1-800-322-4844) LEACHING AREA I The Contractor is Required to Secure Appropriatel 330 GPD/0.74= 446 SF Required x Permits From Town Agencies For Construction 4 Defined byThis Plan = u v Bottom Area=10'x 45' 450 S.F # Install Risers as Required to Within 12! of 450 S.F.Total Provided t3 J �� ` ° ' 4 - SEAM` 5.All Structures BuIried Four Feet orMore orSub'ect LEACHING CHAMBER DESIGN _ •� _ Finished Grade. I All Pipes to be Schedule 40. Use c k . to Vehicular Traffic H-20 Loading. I x 5 500 Gal.Leaching Chambers ins a $ Septic System to be Installed in Accordance With 10 x 45 Washed Stone Field as Shown — 310 CMR 15.00 Latest Revision And The Town of 6Ar,,e o / \ Barnstable Board of Health Regulations 6� / TOP oir ,'J \'� `�� T. Ali Piping lobe Sch.40 PVC. LOCUS PLAN Scale: I"=2000 g� / T Assessors Map 114 Exist. Lawn/Garden _` Zoning : R F- 10 ( /I FG.12.0 FG. 12.5 Setbacks:Front _ 30 " x 10.0 01 9.o Side 15' Exist. Brick Terrace �-� I ' 9.8 1500Gallon Top E1.10.0 Rear - 15 Septic Tank 9.6 r EXlS1 9A Sot.E1.7.0 Garden � 9.2 IZ/ Bedding as 4.5' Per Title 5 Exist, Owe/ling 10' 10.5' l0' .10' 10' —E----_ -- Bottom of Test Hole El.2.5 3" T I+-t C t_�v, i Z, J x No Ground Water o LOA M — -- DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM IRPOW CoAR5G' SAN„ I ` I Not to Scale „ 1 O Y R 5/5 Bwl SAL.ND ISO R 5/�RSL ' N 1 uac O YR b/b H YCL. COAIZStrANO EXIST. UO `- I > 1� Deck X Finish Grade t-T�YEL.13 RN. COA►ZSE 5AN p 120" 10 YR J 1 x Y`x 'TEST 144L6- BY SUL.L► VAhl EN GINGER / Filter �_, INC. No Gt2outvp wA-rER /4 ( I b' I rn Fabric Compacted Fill I I - Fs c-5. z 4, 19 a 9 _ ' N u u Pea Stone _ _J_ x _. Leaching �- -_�. f I. i_..._� ( I I Q�;C _ Double Washed L A. _I Chamber L_ -_�� 1- __� i\ •��. Stone 41' tit' xist. Se System �� - 10'-0" / /2 Exist -5 RE CROSS SECTION OF CHAMBER Z W IT M4pEL EXIST: STR4G'TLtRE' 41 6C-DRooM S - -,t k \ / i Building r X No KITCHIM-N _. •:NOT To SCALE: z I iu on Slab 1 to / M) Z I i O `D I X "there are not wetlands within 100 feet of.the proposed leaching facility. o - 1 o here are no private wells within 150 feet of the proposed septic system. -I I - 7- there are no variances requested or needed. �'�R>% The proposed leaching facility is located within 250 feet of wetlands. I —�- -- X °- b-` ° The design of the system is based on bottom area only. - r, 0 0 T-A N K 0 / P121MAH'✓ yy� (MIN.) X IExist Dwelling ` PETE S1jLL11DAt'4 I � � N0.29733 CIVIL. 14 I 9 IX SITE PLAN I X PROPOSED SEPTIC SYSTEM \ _ _.. 441 EEL RIVER ROAD OSTERVILLE , MA EEL RIVER '—~ FOR ROAD `--- JANET H. Mc COY PLAN VIEW SCALE: AS SHOWN DATE' FEB. 25, 1999 SULLIVAN ENGINEERING INC. Scale I 20� OSTERVILLE,MA 98161 ---------------- __ - - . . . _ .. .,,_ i . / �, , �\ I I I ,i .i I. ,--, , ,.?i 1w��w r ,--,) I � I _ �_�\ �(( � g _ - - - i . : - , 1 _ 1 s1 .. .- .'..,,., .," , > I : f' j 'n �t ` - .. , V � / I .. l� , I i ; -�- x TPA^°°, GB WIRc- I I / I �t � /*� fit_: 0.0-7 x ��.¢ x x ,c-T_ I!•8 r x 11 .3 ) !, FEIIX _ _ , / __. i •7" / ` _ _ . 1 P / . n { aN/ �_ j - r , 1 -� I .. : r - 4, ,� T � I I1. \ ( ; .,� I , ; -'- GAS, f i° 9 x PS f I' O r I - d k /� _ ,. _ _. :_,.:..__ j 5 _. � ' 0 ,, 9 L � / 17 t�S) i, . 1 oV is jo. r� 1, I \ v j _t , ,9. >l _!r-oO k4pf -T?0` p+Ap l t 1•I v -,�:-r-- -r-----, ,, \ i� 4 C�1 -- - t . 1 � :v I u \, I \% _ fl �A ( o ?NI 1�11►3G b .� k 1 'e ,C". 1 1'O .3' ! ,:'... 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