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HomeMy WebLinkAbout0014 INDIAN TRAIL - Health 14 Indian,T rail Osterville�;rl,z �— A = 070—009—005 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsnrrr— a Dim -W for Voluntary Assessments 0 9 - orc-�,S GMr PW- CWTWI rw code Mft of inapealom haPaMon resaft RUW be milm ll ed on this*MM lrapecdo'i forms may not be altered in any way. oat A.General Information OWWUmime to useMAY ft tab key tone Cuw-do mt un ush key.�e er ! Cartpaay Name ,1•Z�Kt 6 IMI,Y� 1 "A�,e of 1 c _ 'Y/1 s6S •• zip code TF�- - 63/ - S ���� TdWhone Number umse Number B.Certification 1 certify#01 have persarnalty inspected the sewage disposal system at this address and that the information reported below is true,actuate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of an site sewage disposal systems.f am a DEP approved system her Purswnt to SeWwy F 5 340 of Title 5(310 CUR I5A00).The system: M:o -: 2 CO Passes ❑ Conditionally passes ❑ Fails 7 =' .I rt 2❑ FuuUner Evaluation by the Local Approving Auffxx y G 2 3 Z ' s Dare 173 The system inspector sttaul 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 sham systern or i has a design flow of 10,000 gpd or greater,the inspector W the system owner stall submit the report to the appropinate regional office of the DEP.The orginal should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. ""This mport only deed condidorrs at the time of h bon and under the conditions of use at that Um This hrapecbon does not addretw how Me"Own wig pwbmt In Me fuWre wWw hire same or different coodhflons of use. LSnp•OBIOB Tree SOIer3d tenxlm seam mepees Shan�Pam�a u h � , Commonwealth of Massachusetts Title 5 Official Inspection Form sulmurk ce&r~Disposal SyBforn -Not for Vduntary Assessments o� for �7 �� o�6sS' iZ every page_ Cdyrrwn state Zip Code Date or inspection B.Certification(corn.) Thave ary:Check A,B,C,D or E/aftr/ays complete all of Sermon D A) nd any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist Any failure criteria not evaluated are fridicated below. Comments: B) Sydern CondMor►ally Pnises: ❑ One or more system components as described in the'Conditional Pass'section creed to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by the.Board of Health,will pass. Answer yes,no or not determined(Y,N.ND)in the❑for the Mowing statements.tf`not detsrmirmd,-please explain. ❑ The septic tank is metal and over 20 years olde or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exhltration 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 15(ptaln: ❑ Observation of sewage backup or break out or high static wager level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or kgreven distribution boat.System will pass inspection if(whh approval of Board of Heaflh): ❑ broken pipes)are replaced ❑ obstruction is removed �'jrp. Title60ftW Porto:Submo w6wepo Dopnd SyMeo-Pepe2di6 COMMOnweafth of UMKhU"is Title 5 Official Ins ection Form Subsurf".SewaT Disposal SYMN Not for Voluntary Assessments r dress Owner $N mq �fmrnarion is wry P �yrr ink(.t �e Mad on I Z0 1 B.Certification(cont.) B) Systern Conditionally tomes(cont): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a.yew due to broken or obstructed pipe(s).The system will pass inspection d(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstric6orr is removed , ND Explain: C) Further Evatuallon is Required by the Board of Matti ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public hraith,safety or the environmat 1. Systern will pass urdess Row d of Hoeft detmnines in a cco<darme with 310 CWt 15.30:(i(1xb)that the system Is not functioning in a manner which will protect public her, safety and the environmen ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated we land or a salt marsh 2 System will fail unless the Board of dealt!(and Public Water Supplier,If any) determines that the system Is functioning in a rnaruner that protects the public heaph, safety and environment ❑ The system has a septic tank and sal absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface'water supply. ❑ The systern has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. Gino.am Tm501ir3 Fam:Subufff sSMNWUepaNSyd+-PaW3af15 Commonwealth of Massachusetts Title 5 Official Inspection Form S>abeu Sewage Disposal Sym Form-Not for Voirmtary Assessments owner mgLdmd for WA. O Z S Z �L emy page. cwrom swe 2p Cade DaW of Inspection B.Certification(cost.) C) Furdw Evaluation is Required by fhb Board of Health(coat.): ❑ The system has a septic tank and SM and the SAS is less than 100 feet but 50 feet or more from a private water supply well• Method used to determine distance: "This system passes if the well water analysis,performed at a DEP certified laboratory,for coiliorm bacteria indicates absent and the presence of ammonia retrogen and nitrate nitrogen is equal to or less than 5 ppm,provided alit no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Faftrrre Criteria Applicable to All System You mW bulicate"Yes"or"No"fo each of dw following for Mff tarapecdons: 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 dogged SAS or cesspool ❑ L—y/ Static liquid level in the distribution boot above cutlet invert due to an overloaded or dogged SAS or cesspool Liquid depth in cesspool is less than 6'below invert or available volume is less ❑ !"' / than%day flow, ❑ L—I/ Required pumping more than 4 tines in the lest year NOT due to dogged or obstructed pipe(s).Number of tines pumped: ❑ p� 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 may. 6tup•a9fa6 Vft 5OftM NEMWi ram:SdaUbM Serape DbpORI&JMM•Pape4 d 15 Commonmft l of Massachusetts Title 5 Official inspection Form Subsurface Sewage D"osal Form-Not for Voluntary Assessments ow w Owreea s N , Wow is -Mez Q I -L OVWY Pop. Wown store Z O code Dift of hupecim S.Certification(cont.) D) System Failure Cttteria Appfic"to All Sye%mis(coat.): Yes V❑ Any portion of a cesspool or privy is witttin a Zone 1 of a public well. ❑ ❑/y� Any portion of a cesspool or privy is wdhdn 50 feet of a private water supply well ❑ ❑ I;r" Any portion of a cesspool or privy is less than 100 feet but greater than 5o feet from a prnral a water supply well with no acceptable water quality analysis.[Mle system passes If the well water analysis,performed at a DEP ceRflfed laboratory,for fecal corm bacteria indtrates absent and the presence of ammonia niEnogea arnd rdbate rdbolpeu Is equal to or less than 5 ppm, provided that no other fWkM criteria are triggered.A copy of the analysis and dnaun of custody must be attached to this Torn.] ❑ ❑W� The system is a cesspool serving a tactl'ity with a design flow of 20Wgpd- 10,000gpd. ❑ The system lift I have determined that one or more of the above failure criteria erdst as described in 310 CMR 15.303,therefore the system fails.The system owner should contad the Board of HeaM to determine what will be necessary to correct the fences. E) Lags Systems: To be considered a large system the system must sane a fardfy whffr a design flow of 10,000 gpd to 15=gpd. For large systems,you must indicate either yes'or`rW to each of the following,in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—lWPA)or a mapped Zone II of a public water supply well If you have answered yesr to any question in Sermon E the system is considered a significant threat, or answered yes'in Section D above the large system has failed.The owner or operalgt of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. i'i�p•OSeB RIe50fealM�erlon lam:SSsrspe 0o,pa6 Sy,Mm•Ppa5af 15 CommonmUh of Massachusetts Title 5 Official Inspection Form Subsu Dieposa! Form-Not for voluntary Assessments rase Owner omen n Wdormalionis /r"KJ evey page. cRyfrowtv state zip coda Date or Inspection C.Checklist Check if the following have been done.You must indicate'yes°or'no'as to each of the following: Yes No ❑ Pumping information was provided by the owner,ocmipaK or Board of Health � — ❑ Were any of the system components pmanped out in the previous two weeks? [/ ❑ Has the system received normal flows in the previmis two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this irmspekxion? ❑ were as built pions of the system obtained and examined?(tf they were not —/ available note as WA) ❑ Was the facility or dwelling irk for signs of sewage beck up? Id ❑ Was the site inspected for signs of break out? 2// ❑ were all system components,excluding the SAS,located on site? LK ❑ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of ooratrudion, dimensions,depth of liquid,depth of sludge and depth of scan? ❑ S// Was the facility owner(and occ ipards if ddfi meat from owner)provided with infonimbon on the proper maintenance of subsurface sewage disposal systems? The sine and location of Vie Soff Absorption System(SAS)on the site has been determined based on: Fling information.For example,a plan at the Board of Health. Ell Determined in the field(d any of the fame cxtteria related to Part C is at issue approximation of dishum is unacceptable)1310 CMR 15.302(5)1 r �•aeioe TM50M.W .rxm:subn,mmsowaw sy.&•Pewedl5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessment Owner OwnersM rM requirecl for emy pap- cwawn swe Zip Code OM of kopec"M D.System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): '�n DESIGN flow based on 310 CMR 15.203(for example:110 gpd x tf of bedrooms): Number of current resklerft Does residence have a garbage grinder? [I Yes lt' No Is laundry on a separate sewage sydem?Crf lies separate inspection mired] ❑ Yes (4 No Laundry system inspected? � ❑ Yes ❑ No i Seasonal use? ❑ Yes ❑ No Water meter readings,if available W 2 years usage(gpd))= Sump pump? ❑ Yes /N� Last data of occupancy, Date Flow CondMons' Type of EstaI*sfu nt Design flow(based on 310 CMR 15.203): Gdoro Per day WA Basis of design flow(seat/persons/sgA,etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tarfc present? ❑ Yes ❑ No Non-sanitary waste disdwged to the Title 5 system? ❑ Yes ❑ No Water meter readings,if available: Last date of ocaparlcyhrse: pare Omar(describer err•papa Tine 5 oBdd ram:aeewbw serene Uferemd Syom•rep.?a ie Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage 7""sr Form-Not for Voluntary Assessments owe ;s 7*, ors t,� ►L ell Page• c@yfrown state zip Code ()Re of Inspeam D.System Information(cola.) Genera!Intannatkm Pumping Records: Source of information: Was system pumped as Part of the inspection? lW Yes ❑ No If yes,volume Pumped: 00 How was quantity Pumped determined? Reason for pumping Type of Septic tank,distribution bmr,soil absorption system ❑ Single cesspool ❑ overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes,attach previous inspection records.N any) ❑ Intwvati atti vefAtternve technology.Attach a copy of the current operation and maintenance contract(to be obtained from system Owner) ❑ TKP tank Attach a copy of the DEP approval_ ❑ Other(describe): Approximate age of H Components (rf ofi worm J Were sewage odors ducted when arriving at the site? ❑ Yes No Ift"-O&M Ift 5nekM tiw Fa Slb..rsa.avwWnkpwdSin'PQW9d15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal Form-Not for Voluntary Assessments Owner N ^A 7 reqtgred for ft. ation is every page. City �fr State Zip Code Dais of Inspection D.System Information(coat.) Building Sewer prate on site plan): n /I Depth below gam: teat Material of construction[: ❑cast iron 40 PVC ❑other(explain): Distance from private water supply well or suction line: tee Comments(on oonddo►of joints,venting,evidenoe of leakage,etc.): Sgft Tank(locate on site plan): Depth below grade: feet Material of construction: concrete ❑metal ❑fiberglass ❑p*ethylene ❑other(explain) If tank is metal,fist age: YOM Is age confirmed by a Certificate of Comp?(attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------------------------------------- ----------------------- - - - --- Danernslor>s ,Gp — J r - % Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Distance from top of scan to top of outlet tee or baffle Distance from bottom of scan to bottom of outlet tee or baffle How were dimensions determined? �jfp.pgpg MMSOfitW►wpecrm Form:SLbwf m Serape Oryod Syerem•Pape 9of 15 Commonwealth of Massachtwetts Title 5 Official Inspection Form subsluface Disposal Form-Not for Voluntary Assessments owner �e9�far ev"Y pop- City/Town Stele Zip Cade DAnTwepection D.System Information (coat.) Comments(an pumping recanm �evleakage, outlet tee baffle condtior►,structural iMeg' , liquid levels as related try outlet inver ft.): ,t4— c Gnaw Trap(locate at site plan): Depth below grade: feet Matte of : ❑Cornxete ❑metal ❑5bergrgiass ❑pofyerwlene ❑other(explain): Dimensions: Saurn Bddmess Distance from top of slum to top of outlet tpe or baffle Distance from bottom of so urn to bottom of outlet tee or battle Date of east pumping: Date Comments(on pumping reoommendatioM inlet and outlet tee or baffle Condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc-): Tight or HW!ng Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of won: ❑corxxete ❑metal ❑fiberglass ❑polyreftlene ❑other(agilain): •Olin Titr50flicldrmpersan tam:sn9,rew SmgWos moyaao-Page 10a15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsu. Sewage Despot Form-Not for voluntary Assessments W.Din o S�� L� 12 requ'sed for emy page- stele io coft We of lnspecft D.System Information(corn.) Tight or Holding Tank(cant) Dimenslo ns: Capacity: g Design Flow: gdo-per C* Alarm present ❑ Yes. ❑ No Alarm level: Alarm in woridng order: ❑ Yes ❑ No Date of last pumping: to Comments(condition of alarm and float switches,etc.): Attach copy of current pumnping contract(required).is copy attached? ❑ Yes 1dI No Distribution Box(if present must be opened)(locate on site p%an): Depth of liquid level above outlet invert Comments(note if box is level and distribution to ones equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): JD Cc,a Pump Chamber(locate on site plan): Pumps in worddng order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No so•asus 705GFxM- pacimA m:Sideufaoe Ssagemposel Symn•Pape+7 cfis Commonweafth of Massachusetts Title 5 Official Inspection Form Subsurface Sewrage Diapoaal Form-Not for voluntary Assessments ly T�A owner a �2 fohformadon Is r �' AZ &AWY page. City/Town snare r¢Code cTate of Insp MUM D.System Information (cunt) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Sod AbsorP*m Sysbm(SAS)(locate on site plan,excavation not nxpred): WV etzil 6 if lcuped, 4W1 Type: ❑ leaching pits number. leaching chambers number. ❑ leaching galleries number. ❑ leaching try number,length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number. ❑ innovativelatiemative system Type/r>arne of technology: Comments(note condition of soil,signs of,Pydrauhc failure,level of ponding,damp sal,condition of vegetation,etr j: n LIT tSiep•aB'W Tie 5 o[®1 Yrpedlwi Fm¢&AMMbM saga OlNeie!SYMM•Pap 12 of 1S Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal SAVItern Form-Not for Voluntary Assessmentse owner ����,, , information a Vick- D�J 2,7 /1- required tar every page, City/Town State 2 p Code Date of Inspection D.System information(cart.) Cesspoote(cesspool must be Pumped as Part of inspection)(locate on site plan): Number and cotdgutation Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool t Materials of construction Indication of groundwater,inflow ❑ Yes ❑ No Comments(note connditior►of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): Privy pocate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of sal,signs of hydra>!ic failure,level of ponding,condition of vegetation, etc.): 4 I51 MR To.5Oftm ttpeflian Poem:SiLaau.9.W O.P.W&0.•Pepe 13 a 15 f Commonwealth of Massachusetts Title 5 Official inspection Form Su� Disposal Sy*n Fonn-Not for Voluntary Assessments AJ((J Owner w gtd is E2 ' redrequsedfor every page. CRy/rown Zip Code Die of inspection D.System Information(corn.) Sketch Of Sewage Disposal System:Provide a sketch of the sewage disposal system including ties to at lit two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. fl 10 30 ;6'6 C PAM 6e�. r .0908 Titles oraw Commonwealth of Massachusetts Title 5 Official Inspection Form subsurface ssw,a"D!!!W Form-Plot for Voluntary Assess nwis JAJA�, Ind, o �fo Z /t. every Peke• CByrrmn Stele zip Code Dffie of Irspectim D.System Information(cunt.) SM Caro: IV/Check Slope Check Z ❑ Shallow wells Emanated depth to ground water: Please indicate all methods used to determine the high grand water elevation: ❑ Obtained from system design plans on record If Checked,date of design plan reviewed: tale ❑ ObServed site(abutting properly/observation hate within 160 feat of SAS) ❑ Checked with local Board of Health-explain: Checked with local excavators,instatAers-(attach documentation) [[� Aomsed USES database-explain: You must describe how you established the high ground water elevation: &W•O rmsof.W-I Form:sva,.r—SWWDWDW syS•vaw is of is Title 5 Official Inspection Form [ Subsurface Sewage Dispos System Form-Not for Voluntary Assessments I y '►ti Z7 Pr e A dr Owner Omer' 5 N •e 0 1� � Z information is � required for every page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist (� Inspection Summary:A,B, C, D,or E checked ❑ tnspection Summary D(System Failure Criteria Applicable to All Systems)completed (,System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Gage 17 of 17 r TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner Tenant Address i`� ` Address Compliapee Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities V roved:. 3. Bathroom Facilities °_. 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service r 11. Space and Use - 12. Exits 13. Installation and Maintenance of Structural r t ' Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal ®�("" 3 16 S 17. Temporary Housing 18. Driveway Width �n1 . 19. Number of Tenants Observed 3 1L, ?j( � S 2�4ILI PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition cv Number of Bedrooms Number of Vehicles Allowed (max) Zu Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here � t TM THE COMMONWEALTH OF MASSACHUSETTS FORM 30 C&W HOBBS&WARREN BOARD OF HEALTH CITY/TOWN a I DEPARTMENT ' e ADDRESS A 4 GSM syeyw CSV 8�2� TELEPHONE Address JIMDIAQ-7V—"%1.. 6S't�t�����C- Occupant _ VA CA" Floor Apartment No. No. of Occupants_ ��_ No.of Habitable Rooms 6, No.Sleeping Rooms___3- No.dwelling or rooming units No.Stories Name and address of owner ycc . .fin . GP_a�>si t�2- Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: / Roof / Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Lighting: STRUCTURE INT. Hall,Stairway: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Z-4upply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 . 3 I Bedroom 2 "2S6 Bedroom 3 220 Bedroom 4 Hot Water Facil. Sup.Ten., a , ct.: acks, Flue ,Vents afeties: Kitchen Facilities Sink 1 Stove Bathing,Toilet Facil. Plumb.,Sanit'n.: Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted -"C 0a- a 'l r,- Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF RJURY." C. INSPECTOR TITLE 0- A L"1 4( A., SOre7 2 DATE C' Zv 06 TIME SO A.M. THE NEXT SCHEDULED REINSPECTION 6�A777 P.M. i 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. ( ) to provide Failure a smoke detector required by 105 CMR 410.482. f h following conditions which remain uncorrected for period of five or more days following the notice to or (0) Any o the o g p Y g knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. • - - (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). t (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. 1YVJ)'A = 1�1 In s i�cw l TOWN ARNS ABLE �� LOCATION IV P4 ' SEWAGE # W !�/+� `G�& VILLAGE L,i;�! - ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY I Q `2—0 LEACHING FACILITY: (type) C',� t (size) W X 13 NO, OF BEDROOMS -� BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 7— 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 o leac 'ng fac'litay) Feet Furnished by � ` 3 - 47 �- z/- 33 s- 32 6- 33 ��Ir17,i f z e No. [ 7 G i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS ZIppYication for IDiqu ar *pg;tem Construction Permit Application for a Permit to Construct(,i Repair( )Upgrade( )Abandon( ) PComplete System ❑Individual Components Location Address or Lot No.1y ODwner's Name,Address and Tel.No. bS N`��t t'Y1 6&,t%c4 W1. Crv*y Sr. Assessor's Map/Parcel (oSS Installer's Name,Address,and Tel.No. Desi ner's Name,Address and Tel.No. 7 us Rd,li owavg S06-4 3IS11 Type of Building: r Dwelling No.of Bedrooms Lot Size( — sq.ft. Garbage Grinder k t1) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow !35-0 gallons per day. Calculated daily flow gallons. Plan Date al, Z%,7gg`I Number of sheets Revision Date Title 1�gpbserj rnQsn Size of Septic Tank T06 CaAt, Type of S.A.S. + GAS C VAmft-y.5 SOU{� I t-iol l qZ1 G%cLb Description of Soil 10 ems) 0-1 lMek tow u Z orrc,na., Syr to tAyei, MF6 i-1Altr.E� �i f �S"+ C c,�11�6Z gyp. �pu7 4,W. � q�``- Et.► f.1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the co on and mai en of the afore described on-site sewage disposal system in accordance with the provisions 01VTitl f th nvir me 1 Cod and not to place the system in operation until a Ce 'fi- Cate of Compliance has th' o o eal r Signed Date D Application Approved by Date 14 Application Disapproved for the following reasons Permit No. 0004 , 3 O Date Issued �J L4 No./� / ��.3 `� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes -. PUBLICAALTH DIVISION -TOWN OF BARNS L , MASSACHUSETTS pYication for. iqDoaY *pgtemCOngtruction Permit `4y Application for a Permit to Construct(t,,,-)Repair( )Upgrade-,(, )Abandon( ) 'Complete System El Individual Components L' �l�1 t Location Address or Lot No.' tc�^ 7r, ` .. Owner's ame,Address and Tel.No. cxle��Alt r�►'a , '� M. CroSb�r Sr. Assessor's Map/Parcel ZoyV j Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 5j tV,'r\ (C}n<Fnferz-J 7 MA. o toss S06_4Z8_331/ t Type of Building: \ �^ r Dwelling No.of Bedrooms J Lot Size(ag 0, 81 --Sq.ft. Garbage Grinder.(Ua) ` Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 550 gallons per day. Calculated daily flow Stitt 6 gallons. Plan Date;Solj Z",, Zoo`/ Number of sheets Revision Date fr Title ►Ro(Je� 1: r" r Size of Septic Tank t.5708 (Ac Type of S.A.S. `1-306 (oAL 0V(\M ER`-, SK) A r Z'-10"A4Z' t te.Li0 1 Description of Soil,I�Id]./�531 O-1 A Z_AYeg I WQ 3f Z 10'2�LS e_-,aMr w ttitsr=. t8-ir- Z Mr=>. <,Ajj-kN - C.W- Q JqZ_ 6L.. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: f r, The undersigned agr o ensure the co, t�ru� on and maintenance/6- ine afore describedon-site sewage disposal system accordance with the provisions o Tit1e�5�of,the, nvi� mental Cod. and not to place the system in operation unti a Ce 'fi- catte of Compliance has thee- 'ssu 1`b'�' Boaz ealtV_. r Signed Date . Application Approved by�--- / t Date .5 70-1.1 Application Disapproved for the following reasons Permit No. 'cxJ' 3 y(o Date Issued --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS y BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO T7,17 that the On-site Sewage Disposal System Constructed(�--�)Repaired( )UpgradedAbandoned( )by at I`f lAcvn 1 ra;� (�`�lcr-�;i�_ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. V ut-/-�dated v Installer Ra)4- Designer <r ko� The issuance of this pe t shall not be construed as a guarantee that the sy�i m will, ds designed. Date �.7 -: /u r Inspector --------�----------------------------}.--- No. ��-/ ---3 ( (P Fee !S THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi.5po0ar 6potem Congtruction Permit Permission is hereby granted to Construct(r--)Repair( )Upgrade( )Abandon( ) System located at Iy S- it,c�.Tr-A and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe, 't. Date: I S G Approved Sy TOWN S ; SABLE LI /1rD� /l ':SEWAGE #,),CV Y ® LOCATION C� VILLAGE Z4tZtZ. ASSESSOR'S MAP & LOT 70 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �j�� ,�� 11—2'0 LEACHING FACILITY: (type) ( � / / j (size) W)413. NO,OF BEDROOMS BUILDER OR OWNER A-�� sl / >> ' PERMIT DATE:�"'-� _®� 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 Feet withi 300 feet o leac 'ng fac'li�within Furnished ii Z S_ 3 2-15 66 L7] 4 6- 33 3-31 y;304 33,g 7- y�' y � + { 1 1 M1 �� � i f 1 �`� � i � i I { iMPnRTANT^ to I%~cLsa t"v fho tywrocnnnd inn infnrm=finn fmm 1.q �* n 4 ; ,u tr�aarvx+(tyncarn t�a j i y i M / W IN `\ 1 umwm s� BAYSIDE BUILDING, INC. 3 BAYBERRY SQUARE, CENTERVILLE. MA 02632 PHONE: 508=771-1040 FAX: 508-775-0155 .1 i ✓r I • t ` I ; `A— :a ill �l Z LX i t 3 i r r I NF ��� •� r+ l 'I` i - I 3 S ....._.__.-- : a BAYSIDE BUILDING, . INC. a 3 BAYBERRY SQUARE, CENTERMLLE. MA 02632 . off$' PHONE: 508-771-IM FAX- 508=775-0155 - 'Town of Barnstable �01fHE T _,. Reguiatory'Services bP O� Thomas F.Geiler,Director ' : .Bagrisrksre. � . . Q Public Health Division Thomas McKean;Director 200 Main Street,Hyannis,M.A 02601 Office: 508-862-4644 ': " Fax: 508-790-6304 . Installer & Designer Certification Form Date: S Zcc 6S` e Designer: SyM �C, C Installer: _ - Address: I�a.1r.�r (��Q� Address: -'7 � rv� SS L .z was issued a permit to install a On C� p (date) ,, (installer); septic system at I� �^ ®s�e ,\ .e based on a design drawn by . ' ,t„�`��w (aduress) = s o\,ixc, l n dated Ylv Z3,Z0.3 design - T- — L,-'I certify that the septic system,referenced above:was installed substantially according'to the design,which may include minor approved,changes such as lateral relocation of the distribution box and/or septic tank. tic 'system referenced.above was installed with major changes (i.e. I certify that th a septic y m greater than.10' lateral relocation of the.SAS or any vertical relocation of any component of e'septic system)but in accordance with State& Local'Regulations. Plan revision or c ed as-built by designer to follow. SULLIVAN taller's figna NO.29733 CIVIL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO°BARNSTABLE PUBLIC H]�,ALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. ` THANK YOU. Q:Health/Septic/Desiper Certification Form y . 6'-0' II 7'-0' 6'-d I�'-i' 6'-O' r k•. I ------------------ - - -+--- ------- ---'I--- i I P)alwl I f I I I I _ I I i i I $¢REEND I I C� !fin Jl 2* 9CRF8i ION) b a covERM I I ►-4� SKY i i 1a-a " P.QB �- , �► I I I.rrn Lyre U're i 4•, !i I I I SCMUN BTFYI._BfXt A8C/E PLLBN I TV PCH LB 1 p STUDY A�}D'�IIIy: PH YELI zz r RED BnMO4 KITCHEN GREAT ROOF® - Ro e1n04 ®� - ----,' MASTER ® 40 to 2-0. 2p Fh`D e11m�1 i ®td � . wvrruacer a-.1'- 7-4' 3•-a 3/a' 3'-i' ra• SFAD W.cvoo ' Y UTILITY c PAINTW Pir ?A 2� R®fl11eW notanac BEAD MO.wm - d-6 1/2' yyll IMF• _ _J / s --- ------ --- 4 \ �' 4'-d 13'-2* 4-1 3/4' I 2 - ON c a ® Y ! ® TL.[ - 1 .--QYER WIM BMW d �• Ss o ea wao c Lo ®NURSERY0 LAD i eLiurnx_ � ur p ^ r w me CII 3 1 1 Z ill, oa a ILL0a Qaa � a w � N tL V T-2' II'-7 - 11'-7 -T-2' 5'-8' 7-21 S'-1& S'-ID' 7-2' a• r.. r SHEET ' - - — A � ` 1 _ G'-G' b•-i• 9'-Id 4-10• i'-b• 6'-i' �j�A g` C i L9 i. 2 EKE IIIIIIIIIIIIIIIIII zq w \BEB�qR��- � T` I U I '-" pN Tr\\BED ----, / I I T \ CA f / _ —T--� � W I ® ®22 2A _. BALCONY 0 2& f 5A-T-4 #1 f� aATFa tt2 TTt3 MAP -Dom \ I 1 I \\ a+ W - 3'-e' T-G• 3'-6• T-i• 3'-� O Q LL _ � V I SEC-ONO FLOOR PLAN SCALE: V4' 1'-0' SHEET A i 1 - o E Id-'P 11'-i• b'-O' T-d, 6'-d - LV-b• 6'-d � ® � _�_ C " ------------- ------ -- -------- ------_ ------- ---------m --------`--- .®---------- ------- -- ® ------------ -- - ----------- - -- 1 wn Jasr } oacgar ra Pilot Tyr. IL -- — i _ --------- L J L ILa1J L J L J L J L J _ O I " I 5-8• 5'-8' —i'-.1•� J 6'4 6'-d 6'-d 6'-d 6'-d iv c' ` \ \ ' f/� [�`/) I I • POW iuo • \ PONT LOAD +-'- I I_ L—J L J L J.h L J L J L J . L J L J R I 1. I , L I ^ I L_---. J o n I — m o I o � IIwc� PJ VZ'CONG,8LA6 `� • I :t i o I EN L--- -� wtl y 6 MIL VAPM ENlisagt I I Y I io•rly oormwaw8l rnvTING — ———— — I =: I I ^ L I I I I r- --- -- -- — — ____ ___1 1 1__—__ _ —_ _ _ —_ r r 1 ' o � y I W 1 \J w O u . F N 74'-d �— 7— (L 544 L AOUNDAT) AON ?I�,N (Tidal) ZONE: ASSESSORS REF.: Great Cove RF-1 & RPOD Map 70, Parcel 9-5 ~ 2�b Area (min.) 43,560 SF r f d Fronta e (min) 20' lsy .s 2 k, a s �00 Width (min) 125' `o .,t. o Setbacks: OVERLAY DISTRICT.Fron �• m Side AP AP - Aquifer Protection District �' p• ' Rear 15' As Shown on Plan Entitled a 6 Vertic l Wooden Timber Bulkhead "Revised Groundwater Protection i a " April, 1993 under Decking _ ♦-„ Wooden Ladder Edge of Fill/Land Under the Ocean Overlay Districts L Cl.� Per ENSR 11111103 Wrodr+ Peres_ IFU �Tio'cd) I DrivewayRunoff To Be Diverted 6.,P r-" ° I Deck' I By Graing And / Or Landscaping FLOOD ZONE: ` ` jw 1 •. 1 j 9 Zone B & A11(el 11) (see plan) aad teean Ijr y p or . . S°It Marsh Flogs B1-B3 Community 00181 D o ys er r * s6 4 Per ENSR 11 11 03 Flon )und __ _ 1 i Gross ' _a _ - ,. _- -- _- __ _ July 2, 1992 : wore. \\ \ _� -_lilt _�j, oCate - - _ \ - -- - -- Ii�AP• _--__ __ -- LOCATION . \'- Scale: 1" = 2000'f A7 ,- _ �_ , \�o(M`. -f\\ - - --_ __ DIRECTIONS: , w "/ \ \\ •TOe.°(Coostol�gl - - - = - \ _ S�� �� -�� l _ CO l��Prc / _ - Wood P•�°/ I \ \ \\ / \'\ (Town Deriniiion) t / \ _ \ = .Tow'D\SIo, i \2\ - 01..5°% i I \, [J- -� 3- - ` / B7 ► \ \ ` 21 =.=a - - - - - - y Nf';fr 6o i ` _ 49e�; / \ , �... B2 `' . r _ �� B6 _ ock C/n �- -�=_ - _ \ From Hyannis - Follow Route 28 towards Osterville; Take V aaTn� �, 615 N. _ _ _ 'L a left onto Osterville West Barnstable Road and follow to the end; ''- Take a left onto Main Street; Take a right onto- Parker Road, and then A4 4�� -. ��r Al _ _ _ _ _ _ _ Landward Edge of Coastal Dune Flags e3-s18 'T take a right onto West Bay Road; As the rood forks, stay to the left i - - - _ Per ENSR 11/11/03 - - - and continue onto Bridge Street and follow to the en trace to Oyster • Land Under th?•'(?ceon Flags A4-A8 �/ � '• •� - _ - _ B8 \ � � �\ - - - - - - -4- - - - _ ! \\ \'���` Harbors;_ Proceed through the gate and then bear left onto Oyster / `'.. - 0 Way; Take a left onto Indian Trail; Lot is on the left, #14. / Per ENSR 11/71/Q3 (Flag A8 not found) _ \ \ 99 - Landward Edge of Coastal Dune Flags Al-A4 -5-I i - _ _ \ �, BID 813 \ Per ENSR 11/11/03 / -? l� ,� / /'........... \ \ _' I \ ......... \ \ Bly \ \ °�; j et -- / ► i .. To Remain \ \ e12 J Undisturbed \ / ` rtOTES DESIGN DATA Lot 250 Electric 1 . LL / ,7 � i' Box .• ..,• / \ of \ i B15 11 / i F.. ...........t........................... ......... _ \ \ "...`To'...... � i Water Supply For Is t Municipal a Single Family Bedroom 68,081 f SF Upland / / / \ eco.• \ \` Location of Utilities Shown on This Plan Are A rox With NO w Garbage Grinder Az / I T \ \ \ \ �' \ J ^ At Least 72 Hours Prior to An Excavation For This = .. ........ ... �, \ C d = GPD y Daily F1 110 x • / \ • .;• \ .....fryo� Project the Contractor Shall Make the Require Septic Tank: 550 GPD,:200% 1100 ...................1.t......• / / \ \ ..e / s Al •l 1 I 4x3 ' / / \ \ '-'S- ? Notification to Dig Safe(1-888-344-7233) Use 1500 Gallon H-20 Septic Ta.,k / l r qr ter. 3.The Contractor is Required to Secure Appropriate . ty Landscape in Consultation w/ Ooob k !r \ \ \"`'' q \ \........., h 58.8' B16 ConCom Staff \ s�o \ \ \ ...... .... J o Permits From Town Agencies For Construction LEACHING AREA 1......•,.......•... //..... // `.,...... '- / ....._... ..� \ s'�t F�„�y �1.IDnstalt Riefined sers ers to Within 12"of y Ibis Plan. 0.74= 3 SF Required (V / ............... . /................... I / v I /......... trait........./ \ - 0 x 42 =538.9 SF Sid / \ r Subject Bottom Area- 12-1 - � \ \ \ � \\ � � I � / Fin' Grade 11 2 12' 10"+42 ••.•/ / / / \ \ \ -• � 5.All Structures Buried Four Feet or More o j �p s �' } I // rn to Vehicular Traffic to be H-20 Loading. 7s8.2 SF Total Provided 'o 6.Septic System to be Installed in Accordance With / \ j \ \ Flood Zone Line from FIRM Map 1` � - \ ' a I , / / � / \ Cov�r�d Porch \ _ Z "� � 310 CMR IS.00 Latest Revision and the Town of LEACHING CHAMBER DESIGN I .........�..../ l 7 Regulations. be Schedule 40' Use Community-Panel No.250001 0018 D •' I I �. 74 P e \ h C°..:• 2 :. - \ 7 Barnstable e Sch.40 PVCegu Map Revised July 2, 1992 \ \ ••''• \ I . . ••••.•._••• All p gob Gal. h h a5 � ed - - - 4-500 a c \ :.. verei :........... 5 L.. All Pipes o \ •• � Pi in t Leaching Chambers in a \ \ \ - _ _ ' I ..�,� ` , / / \ 13 5' \ 1�.� _ _ ~' Z IT-10"x 42'Washed Stone Field as Shown. 8\-...• \ \ \ /� \ : , ,I .`' Zone A, / _ 'II 2� rap osed `6. \ 5 Bed \ ` - _ - 124.3• 3. \ \ \I / / roa .... 19" Dwe PERC TEST: 10.63 Zone At'(P, T1' 10- .n�i - 1 -1 0 \ \ \ .» �•. , M,., , w \ Q -_f•... ,,� _ „M Kx _ -. PERFORMFT)BY SULLIVAN ENGINEERING . . \ 1 i Proposed 600 Gal. Drywell __/7 tro�re O _ ..._ \ --/� \ \ \ \ r', / / r•. _..,. I' of Stone for Roof Runoff (typ.) Entry d 1 WITNESSED BY DAVE STANTON � \ �-� ,�•' I I / � / - - - 3 � \ �_1.- DECEMBER 3,2003 to O�j Building Setback Line _ - .. - . . _ _ _.. -. - / Gr as ed \ - ..- I ; - _ \ TEST HOLE - 1 EL.9•2 TEST HOLE - Z EL. 11.5 LOT 246 \ _ . - - •. _ \ _ ..- - f- / 12� Proposed A LAYER 10YR 3/2 _ t . - . . vi 1 t�0� Reserve C! a12 Septic System A LAYER IOYR 3/2 10' \ VERY DARK GRAYISII BROWN \ / ( Mi \ - VERY DARK GRAYISH BROWN 10.7 \ \ \ I t t I 2 1Q• ` . " ORGANICY SAND 30' - -g - _ - \ / -- \ 3 o.cJ Min I 10" ORGANICY SAND 8.4 10 B LAYER IOYR 4/6 \ > / B LAYER 10YR 4/6 ,x2 \ L_ / I DARK YELLOWISH BROWN DARK YELLOWISH BROWN TH-1 t t / / S.92' / " MED. SAND W/SOME FINES 35" MED. SAND W/SOME FINES 6.3 22 9 7 \ _ 1 - - - _ / C - _ ` , S O - _ / LOT 249 C LAYER 2.5Y 5/6 C LAYER 2.5Y 5/6 It=83 93 1 I Telephone - O LIGHT OLIVE BROWN LIGHT OLIVE BROWN w T Pedistal - - - _ _ / - - - - MED. SAND - - - � I -r.•��9.97' \ , t � Coble� � ( MED. SAND 120" 1.5 Box a / I l 76 88, 6" PERC TEST 5.4 NO GROUNDWATER ENCOUNTERED 7• 25 GALLONS IN 11 MIN. 50 SEC. ray - Edre of Pavement , Wide _ private) LESS THAN 2 MIN.INCH - \ (30 7" GROUNDWATER ENCOUNTERED 1.1 India n 0" 0.3 114 T\ \\\\ Vent \ / LOT 247 . Finish Grade 3'Max. Fabric Benchmark: � / > j F.FEL.11.0 Mag Nail set at edge of pavement I�1-� �- Filter / F.G.EL 10.5 F.G.EL.I I S 9"Min compacted Fill El.=10.73' (NGVD' 29) �� ' See Note 4(typ.) j2" AMEM, Pea Stone , EL.9.1 Top M.9.1 3, EL.8.9 1500 Gallon 9/4"-1 1/2" Septic Tank EL. D-Box LEACHING Double washed H-20 H-20 2'Jl CHAMBER Flow Equilizers H-20 As Required EL 8.1 Leaching Chamber jH-20 '� u v .. But.El.6.1 --- Bcdding,"T"s,&Baffcls If Encountered Rrnave dtep 12'-10 R lea » ;S' ;elf aV t lom m . The outer Per Theystem ' as Per Title 5 F; ' " �a�e All Unsuitable Soils Within 5'of � a � r," � ; Perimeter 01 S f lo'Min..slab � CROSS SECTION OF CHAMBER 01 Min.-Foinudion NOT TO SCALE < ` DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM FL.1.1 '° Groundwater Encountered a y NOT TO SCALE Revisionj Add Conservation Commission Comments 0911510 Notes: PREPARED FOR: PREPARED BY. Title: CapeSury Proposed Improvements 1.) The property line information shown was Ed ward M. Crosby Jr. Sullivan Engineering, Inc. Plan of Land compiled from available record information. 7 Parker Rood 204 Bridge Street Po Box s59 At 14 Indian Trail �- 2.) The topographic information was obtained g Osterville, MA 02655 Osterville MA 02655 � from on on the ground survey performed on Osterville MA. 02655 (508)428-3344 (508)426-3115 fox (508)420-39co (survOc pecod fax In 3 and 1, N nv n,3, PsullPE0001.com copesurv�opecodnet or hP t wPPn 17 NOV 0, n l used Is NGVD '?_9 a fixed m can el d; WI�IK MDl1 Bamstabley (Oyu I f+l 1101 h UI�� Mass, J.) The datum u� Draft, J0D Fl / yen IPvel dahim, 5, I, kale;Comp/li'�vlow, 1► �t ComaDrr1 t �RI_ Rr�l ' ,JAI�y 23, �004 - ' 2a00.� DrdwlH� � Ed05_5r;j _. i i i Great (Tidal) CoVe ZONE: ASSESSORS REF.: n `� ; 1i s o RF-1 & RPOD Ma 70, Parcel 9-5 >f cove ebb Area (min.) 43,560 SF r •a ,�"�' f�000>' - Fronta e (min) 20' lsy+ Width (min) 125' Setbacks: OVERLAY DISTRICT: ` Fron t 30' w Side 15' AP - Aquifer Protection District As Shown on Plan Entitled Vertical Wooden limber Bulkhead Rear 15' a d under Decking n „ 3 a (7 Revised Groundwater Protection ' .•w eg Wooden Ladder Edge of Fill/Land Under the ocean Overlay Districts - April, 1993 3 L �iU Per ENSR 11111103 o Wooden Piles (Typical) F. a ° b M Decking + FLOOD ZONE. ' { F a p(dFf) if aka• •'^* , s► h9 1 t y Zone B & A11(el 11) (see plan) d y Salt Marsh Flags B1-B3 Community Panel No. Beech ars r q Per ENSR 11111103 (Flag B1 not found) #250001 0018 D ys i 0 e r 77) - l L1e Water Grass \_ ` ---- July y 2, 1992 1 �O Cate •-- - -- -- -- _ -_ \ �Ms/�-_ _ Stone Revetment ©,----- -_ \ t��\ / 31�1i -�- - �.�.- -,--� _=� \ - -- _ - - __ , _ � �- LOCATION MAP. _ - --•-----•--.-. Scale: 1 - 2000 f to \ ' /CO Wood Posts0/ \\ ` - ��To�of q�ast°l�� - - - / l7�/�$( DIRECTIONS: _ _ 'a-=. Definition) - j` � �rJ °w„o�sf 2� i - � � is°nd�i/ / \ D�.l� - _ - -3- _ - \ 2- - -=== - - - - - - P ��e �d�eJ ,' /..., B2� B3 es _ w�°\ - '� ,, \` �� From Hyannis - Follow Route 28 towards Osterville; Take /........ B4 BS s \ \ ne ' �_ . . - . . _ . . _._ - - 1 As \,/ . �.3--�_ / `� ._.��� a left onto Osterville West Barnstable Road and follow to the end, 4,`:- _._ .. .�_• _ �,, - \ _ Take a left onto Main Street; Take a right onto Parker Road, and then A4� _ •-..��'= / / Landward Edge of Coastal Dune Flogs B3-818 `T T _ g left as % / g take a right onto West Boy Road; As the road forks, stay to the / - - ea \ \Per ENSR 11/11/03 \\ and continue onto Bridge Street and follow to the entroce to Oyster ....................... ....................... Land under the Ccear Flags A4-A8 / - - -- - _ - - - - - - - - -4- - - - I Harbors; Proceed through the gate and then bear left onto Oyster / Per ENSR 11/11103 (Flag A8 not found) \BQ\ \ \ ,,�_, _ Way; Take a left onto Indian Trail; Lot is on the left, #14. Landward Edge of Coastal Dune Flags Al-A4 - _ _ _ \ \ \ \• 810 813 Per ENSR 11/11/03 Q1 /•' / _ \ \ - ... _ \ B11 _ 14 :.......... �...\ \ \ \ \ P�je _ l \ � B 812 Lot .250 I i Electric I // / \ \ \ \•....,, \ \ \ I / '� Box i I �1. .. . . ... . - \;��.\..e...d.....(f,•`� \ . 15 ........ .. a \ \ DESIGN DATA68,081fSF Upland . r A2 .......• l.Water SupplyFor This Lot is Municipal Water. -5 Bedroom m........................... Single Family Al 4x3 5 \ ?.Location of Utilities Shown on This Plan Are Approx. With NO Garbage Grinder . At Least 72 Hours Prior to Any Excavation For This / ' Landscape in Consultation w/ oub� ' l„�\ \ o (� Y Daily Flow= 110 x 5=550 GPD ConCom Staff \ y f Coke • , \ \ I o Project the Contractor Shall Make the Required Septic Tank: 550 GPD x 200%= 1100 GPD 1 I / ....•... - ,moo \ t ,° oy \ \ ;N ` Notification to Dig Safe(1-888-344-7233) Use 1500 Gallon H-20 Septic Tank \off / Appropriate \ \ .......... Permits From T Ies For Cons tlon I d is Re uired / \ t / cirl o�P=_ 00 ►� I / / I ` \ / / own Agencies Construction LEACHING AREA ,O -'- \ _•: � Defined by This 0 \ \ � / is Plan. to s� ' / / // \ \ \ 1 / 4.Install Risers to Within 12"of 550 GPD/0.74=743 SF Required \ \ \ \ - / o Sidewall=2 12-10 +42 2=219.3 SF 00 Finished Grade. ( ) / / Cotter d par \ \ Z 5.All Structures Buried Four Feet or More or Subject Bottom Area= 12'-10"x 42'=538.9 SF Flood Zone Line from FIRM Map _ \ t �' , / ch 7 \ - / i ► / ..,:. ,� ,. •!............. /.............-•••-• �`xeened rJ G g 758.2 SF Total Provided _ �� \ .i.........•.....•. / / c� I to Vehicular Traffic to be H-20 Loadin Communit Panel No.250001 0018 D / "' / \ g• cQ / Ma Revised Jul 2, 1992 / .• \ s. %sh Ct7Leced -- - - - - - r. Septic System to be Installed in Accordance With _ \ \ _ 14.E �.� 310 CMR 15.00 Latest Revision and the Town of LEACHING CHAMBER DESIGN ''8� \ \ 1 / /i / / \ \ ...... - Zone Barnstable Board of Health Regulations. / >; ' ..... 1k _ - - _ - \ Al Pipes to be Schedule 40. Use ..... �? .,.......... _ ` \ �k �-- ?One B�A�ei - 7.All Piping to be Sch.40 PVC. 1 P 2h \ posed �6� _ - �J 4-500 Gal.Leaching Chambers in a 1 \ / 5 Bedroo ` - - _ - 124.3• IT-10"x 42'Washed Stone Field as Shown., _na A11(el.,l \ \ \ \ I 1 / / / -r 24 10-- I �o Zon e B �� �p \ \ \ \ \ , / / J \ _ ¢. , • � 11 : :V / \ \ r'• / / Proposed 600 Gal. Drywe4l w/ \ Covered O \� 1' of Stone for Roof Runoff t \ ( yp) \ Entry 1 � PERC TEST: 10,638 ........................ 15' /��� \ ► / / / Zr) �-�Sl.• PERFORMED BY SULLIVAN ENGINEERING / _ �- °posed - . Building Setback Line _ -•• •:• _ � / Grp� � � '-''•• WITNESSED BY DAVE STANTON el Dri v DECEMBEIt 3,2003 LOT 246 \ _ _ \ _ \ \ I t / - - . . - . . - . . _ . . - . . - . . _ . . _ \ - . . l - . I / 12 \ Proposed ��\ �.\ . . - .. _ .. -�. -.. _ . �- • -'y_ ; tp 10,1e(0% Reserve /� \ F�12 P System M Se\ \ tic S tem - TEST HOLE - 1 EL.9.2 TEST HOLE 2 EL. 11.5 30' - 3 In' I -9_ - \ / r 12 J-1 \ o.cl A LAYER 1 OYR 3/2 A LAYER 10YR 3/2 / \ / _ J VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN 11 _ - / 8x7 J \ 5 92 1 10" ORGANICY SAND 8.4 10" ORGANICY SAND 10.7 / - - 62_ - _ / LOT 249 =83 93' \ 1 i / ' 259.96 - - - - - _ _ B LAYER 10YR 4/6 B LAYER lOYR 4/6 _ 1 \ ` • Telephone S 8714 50 w T Pedist°t - DARK YELLOWISH BROWN DARK YELLOWISH BROWN p z 35" MED. SAND W/SOME FINES 6.3 22" MED. SAND W/SOME FINES 9.7 Coble r - - / Box ■ I - J `7S c48, C LAYER 2.5Y 5/6 C LAYER 2.5Y 5/6 I \ ' - - - _ _ _ - - - 16 > 7' LIGHT OLIVE BROWN LIGHT OLIVE BROWN Edge of Pavement Tra' '� v ' _ � \ (30' Wide - Private) - _ MED. SAND- 120" MED. SAND 1.5 Indian 46" PERC TEST 5.4 NO GROUNDWATER ENCOUNTERED 25 GALLONS IN 11 MIN. 50 SEC. \ _ LESS THAN 2 MIN. INCH T\ 7" GROUNDWATER ENCOUNTERED 1.1 vent 110" 0.3 / LOT 247 Benchmark: \\\ / F.F EL.11.0 Mog Nail set at edge of pavement / ° ; El.=10. 73' (NGVD' 29) S N 4\ / F.G.EL.10.5 F.G.EL.11.5 See� � / (tYP•) Finish Grade _ / E a� � _ 3.M". Filter L.9.1 9"Min r Compacted Fill Fabric Top El.9.1 2" 118"-1/2" Pea Stone EL.8.9 1500 Gallon EL. .? Septic Tank EL.8.5 D-BOX E XX H-20 Flow Equilizers H-20 Leaching3' As Require EL.8.1 Chamber 3/4"-1 1/2" H-20 LEACHING Double washed Bot El.6.1 2' CHAMBER Stone Bedding,"T"s,&Baft'els H-20 OF 10 as Per Title 5 If Encountened Remove dt Replace min. All Unsuitable Soils Within 5'of PATER 10'Min.•Slab The Outer Perimeter of The System z? 20 Min.-Fo ation �AN 4'-10" � .29737, DEVELOPED PROFILKOF PROPOSED SEPTIC SYSTEM EL.1.1 12'-10" CIVIL NOT To SCALE Groundwater CROSS SECTION OF CHAMBER ' ' - NOT TO SCALE Notes/Revision: PREPARED FOR: PREPARED BY. Title: Proposed Improvements p p 1.) The property line information shown was Ed Ward M. CrosbyJr. CapeSurvcam fled from available record information. Sullivan Engineering, Inc. Plan Of Land p 2 04 Bridge Street PO Box 659 7 Parker Rood Osterville, MA 02655 Osterville MA 02655 At 14 Indian Trail p i 2.) The topographic information was obtained OS terVIII e MA. 02655 from an on the ground survey performed on (508)428-3344 (508)428-3115 fax (508)420-3994 (508)4-apeco 5 fax In �- or between 171NOV103 and 19/NOV/03. PSullPE@ool.com copesurvC�capecod.net I Bamstable Mas I 3.) The datum used is NGVD 29, a fixed mean (Oyster Harbors) s 20 0 10 20 40 80 ea level datum. Draft: JOD Field: WHK/MDH a� Comp/Review: PS Comp/Draft: RRL Date: Scale: Proj. # 24003 Drawing # C405_5G1 July 23, 2004 � _ . 20 i Great (Tidal) Co ve ZONE: ASSESSORS REF.: -Ti s �4 s •y RF-1 & RPOD Map 70, Parcel 9-5 ebb / Area (min.) 43,560 SF 1 f�000� Fronto e (min) 20' Width (min) 125' Setbacks: OVERLAY DISTRICT: ' Fron S►det15 AP - Aquifer Protection District Rear 15' As Shown on Plan Entitled p Vertical Wooden Timber Bulkhead n i o. under Decking Revised Groundwater Protection Wooden Ladder Edge of Fill/Land Under the Ocean Overlay Districts" - April, 1993 + r Per ENSR 11/11/03 Wooden Piles ` < ♦ • 10 �� (Typical) ---+ - } 1 ¢ • _ rM rM ,.':, / ''` j O � + 1 T((liR :.} �� b ♦ a° p r., `� R � F.ta f d� Decking FLOOD ZONE. w « � + Iy Zone B & A11(el 11) (see plan) ti 1 Salt Marsh Flags 81-83 Community Panel No. p•a arta Beath Per ENSR 11111103 (Flag Bi not found) q - - - ,�' _ #250001 0018 D ys •r b -� 4 s ' lae Grass ,II i; - - - _ - ---_ July 2, 1992 z C Water Gate �C� / _ Stone Revetment __ __� _ .r:,. \� -- -- - �,' - -- _ - -- -- __ _ ,- - - -� N. 1- - -� _ =- - --- --- - _ - LOCATION MAP. ``\ \ -sY-L •�-' 7c �- - ` �. - - ' " __ - -- -- -- --•--•--•--•-- -. ' _ T° ��` / Wood Posts°/ \ \\ 1 - / tToe-of Co_osto/ Bon - - - / - - !. _ _ __ `\� `� /MS \ Scale: 1' 20�0'f A ° \ i (Yawn' _ �_' \ °l , "! DIRECTIONS. • CO ° Pr d►" \ l - � / Definition) °P r°'aa - - - Edge ; \ // /•'.• B2 B3 1` - - • "��► B6 _ e7 H�oc\� z�-�----'- =; - \ - - - - - - From Hyannis - Follow Route 28 towards Osterville; Take As \ / s4 es �----�\ �\ �'°e - . . = . . - ' - _;, ` >!l� , a left onto Osterville West Barnstable Road and follow to the end; 4 -=- ----- •-•'-"'=' -P�,= .- / ' �._ -• - Take a left onto Main Street; Take a right onto Parker Road and then TA5 / ( - Landward Edge of Coastal Dune Flags 83-818 T take a right onto West Bay Road; As the road forks, stay to the left / Per ENSR 11111103 Land Under the Ocean Flo s A4-A8 -- - - _ _ _ _ - - _ - - - and continue onto Bridge Street and follow to the entrace to Oyster I g ; / _ -4- - - - \ �'.� � Harbors; Proceed through the gate and then bear left onto Oyster :...... ........ F Per ENSR 11 11 03 la A8 not found / BQ I \ ,�_. - Way; Take a left onto Indian Trail; Lot is on the left, #14. Landward Edge of Coastal Dune Flags Ai-A4 / -5-- -� , i/ _ _ _ \ I Per ENSR 11/11/03 -? ..... ...... _ \ \ \ eto 8t3 \ j i ... ........ X. / ..... 1 i / ,, '.., .i _ .•-.. ,: ...._\. ...... B1 \ DPP li • r I \ o I 812 I O Lot 250 I i' Electric I / / / Box l / 68,081 f SF Upland l' T t / ,:........................... ............. ' \ \ \ °.aP '.... \ I B15 \ NOTES DESIGN DATA A I I / / / .................... a o is Al / I I 4xJ / / \ \ \ \ Pd ft,� .\•.. _ - I \\ 1 Water Supply For This Lot' Municipal Water. Single Family-5 Bedroom .................. ... 2 Utilities n s Plan With NO Grinder / ••- \ •\ .Location of Uti 'ties Shown o This an Are A rox. � / / / ' \ � • . \ \ . .si:�... ................ mJ 5 � PP Garbage G ' � I ' / Landscape in Consultation w/ �� �0 U6 �.C;�\ \ \ \' ..... o At Least 72 Hours Prior to Any Excavation For This Daily Flow= 110 x 5=550 GPD / \ �o /1 \ \ h 58.8' B16 ConCom Staff = 00 GPD / G/r / - - - U 1500 Gallon 0 Tank \ I o Project a Contractor a e e Required Septic Tank: 550 GPD x 200% 11 � ...-Trail ........./-...........- ...........................:\...:.................. -�9 es 3.T.he1Contractorl s1 Required to Secure Appropriate Use a on - plc I / / / / ... Defined by This Plan. ............... .............._......... / ........ `'---_ � _ ., Agencies For Construction , / / `�-�'•. Permits From own en ; \• • ••�•• ...�. I g LEACHING AREA �. �O 6, ~ i 1 I �/ ,/ / '' .-- 4.Install Risers to Within 12 of 550 GPD/0.74=743 5F Required Finished Grade. Sidewall=2(12'-10"+42)2=219.3 SF / / / iv / Comer d p \ \ Z a 5.All Structures Buried Four Feet or More or Subject Bottom Area= 12'-10"x 42'=538.9 SF Flood Zone Line from FIRM Map :' \ I I 7 - 758.2 SF Total Provided ................•. to Vehicular Traffic to be H-20 Loading. Community-Panel No.250001 0018 D -'' � � •' \ ...�,,,,,--,-,-•,,,,,,,.- / \orc cp ed I I .� �,...<-••' ........... 5 peen 1 C I g• / i 9 \ 14.5 P /' h _Cdve. = - / 6. S:; tic System to be Installed in Accordance With Map Revised July 2, 1992 \ \ I I /` "' / \ red - - p y ''' P ch1 \ 310 CMR 15.00 Latest Revision and the Town of LEACHING CHAMBER DESIGN \ / � ti -...` rk _ _ n e ' Earnstable Board of Health Regulations. - �< tk I Zo 4 j _ _ All Pipes to be Schedule 40. Use Pro - \ e��ei 7 7.All Piping to be Sch.40 PVC. 4-500 Gal.Leaching Chambers in a posed �6, I Idrooz4. - _ _ �\ i- IT-10"x 42'Washed Stone Field as Shown. AZone 1(e/.11) ��0 \ \ \ j :•=, / 24 ,. ` 1 ,.10--- 1 � J Proposed 600 Gal. Dr well W/ ¢ 1' of Stone for Roof Runoff t 4 Covere En I p / Y PERC TEST 10,638 15' /�>> \ \ _ , / / -_- - 3 ;� �_15r. PERFOkMED EY SULLIVAN ENGINEERING _ Building Setback Line - - -., _ /- apOSed _ _`.. Gr O �- _. � \ WITNESSED BY DAVE STANTON LOT 246 \ _ _ \ \ {; \ i 1 !/ __ . . - . . _..� . - .. - .. - .. _.. -. . - _ . . aVel Driv DECEMBER 3,2003 -�'- Proposed 1e(0% Reserve 10, O FI12 \ Septic System 30' _ - - I i / - -k Ml2 \ 101 TEST HOLE - I EL.9.2 TEST HOLE - 2 EL. 11.5 \\ i / l ( \ o cl A LAYER 1 OYR 3/2 TH-1 12x2 A LAYER 1 OYR 3/2 ' '` L= 5 / VERY DARK GRAYISH BROWN VERY DARK GRAYISH BROWN \ \ 1 \ L r ex 8x7 J 92 / I " n ORGANTICY SAND 259.96 1 _ _ LOT 249 10 ORGANICY SAND 8.4 10 10.7 L_83 93' / O / / B LAYER lOYR 4/6 B LAYER I OYR 4/6 S $7`14'S 0'• w Telephone ` - _ O, Pedist°I / DARK YELLOWISH BROWN DARK YELLOWISH BROWN Cable C - ,, I ' \ 35" MED. SAND W/SOME FINES 6.3 22" Box MED. SAND W/SOME FINES 9.7 / - - ` _ � 7s 88) C LAYER 2.5Y 5/6 C LAYER 2.SY 5/6 ` - - - _ - - 5�6,� LIGHT OLIVE BROWN LIGHT OLIVE BROWN Trail _ _ Edge of Pavement ■ - Private) '` - ' Wide � MED. SAND 120" MED. SAND 1.5 / - Indian (30 6" PERC TEST 5.4 NO GROUNDWATER ENCOUNTERED / \ 25 GALLONS IN 11 MIN. 50 SEC. / \ LESS THAN 2 MIN.INCH _ 7" GROUNDWATER ENCOUNTERED 1.1 Vent 110" I 10.3 LOT 247 Benchmark: F.FEL,u.o Mog Nail set at edge of pavement `/ ; El.=10. 73' (NGVD' 29) o / F.G.EL.10.5 F.G.EL.11.5 Finish Grade / See Note 4(typJ EL.9.1 9"Min -'III IIIf Filter Compacted Fill Fabric Top EI.9.1 2" 1/8"-1/2" Pea Stone '8'9 1500 Gallon EL Septic Tank EL.8.5 D-BOX EL H-20 Flow Equilizt rs H-20 Leaching3' As Require EL.8.1 Chamber 3/4"-1 1/2" H-20 LEACHING Double Washed Bot E1.6.1 2 CHAMBER Stone Bedding,"T"s,&Baffcls H-20 OF 10, as Per Title 5 If Encountered Remove&Replace Min. All Unsuitable Soils Within 5'of IV Min.-Sltb The outer Perimeter of The System b PETER A,' 20'Mtn.-Foundation 4'-10" suwvm NO.2973' DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM EL.1.1 12'.10" CIVIL Q NOT To SCALE Groundwater Encountered CROSS SECTION OF CHAMBER � NOT TO SCALE Notes/Revision: PREPARED FOR: PREPARED BY.- Title: Proposed Improvements j 1.) The property line information shown was Edward M. CrosbyJr. CapeSuravcompiled from available record information. Sullivan Engineering, Inc. Plan of Land PO Box 659 7 Parker Rood �204 Bridge Street Osterville, MA 02655 Osterville MA 02655 At 14 Indian Trail O 2.) The topographic information was obtained from on on the ground survey performed on Osterville MA. 02655 (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3955 fax In �-- or between 171NOV103 and 19/NOV/03. PsullPEocol.com copesurv@copecod.net 3. The datum used is NGVD '29, a fixed mean Bamstable, 0 ster Harbors ass■ asea level datum. 20 0 10 20 40 8o Draft: JOD Field: WHK/MDH ( y ) Q) Comp/Review: PS Comp/Draft: RRL Date: Scale: „ ` Proj, # 24003 Drawing # C405_5G1 July 23, 2004 1 = 20 , I