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Home My WebLink About0003 LEONA LANE - Health 3 Leona Lane QstQrville A = 119 059 003 v TOWN OF BARNSTABLE J0CATION L t✓—�(A- SEWAGE # . -Nce�'1 -`7 71 VILLAGE 0� `I--iZt. o L.l_0 ASSESSOR'S MAP & LOT L ff -In INSTALLER'S NAME&PHONE NO. u ,CP -771-&I J" SEPTIC TANK CAPACITY _ lez5n L !' -Sj�0 LEACHING FACILITY: (type)"� C �(size)—W-tL_1Gt�,+-J 1C�t•� NO. OF BEDROOMS BUILDER GqOWNSA-vtt, Zt r� PERMTTDATE: 1 �'•61 COMPLIANCE DATE: t 1 01 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 )A9 ld 419 b-1/ As '�Y'Gtlr �f g; �10CAT ON Xaio'-3 SEWAGE PERMIT NO. VILLAGE I INST ILLER'S NAME & ADDRESS BUILDER OR OWNEIK DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /� �; z, �. n ,S J - s � il�, �� F __ ___— J NoU ^ZTSP._ F$s_ 4 �'' •�" THE COMMONWEALTH OF MASSACHUSETTS BOARD40F HEALTH Erw..............OF..... --- .._._...................:................. Appliratiun for 14spusal Works Tonstrnrtiutt Pfrutft Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ................ .............. ..3...Lo. .....1'... -- - ---- .......... tion Ad s Lot No ...._._.... .�......- ..._.... t ...� C.eu ...! ,,P.' ............ :G ... Owner fl Address ....... ......... ....... .................. ....... - .......... ................................ Installer Address 2 Type-of Building � Size Lot.-Js?.�.�aT Sq. feet U Dwelling—/o. of Bedrooms....................................Expansion Attic ( ) Garbage Grinder '4 Other—T e of Building No. of persons............................ Showers Cafeteria dOther fixtures .�....................................•--•-•...._................--•--....._..---...............•••-•--•--•--•-•-•.............---•--.......... W Design Flow....................a�.. .............gallons per person �r day. Total dayly flow.. .�........gallons. WSeptic Tank—Liquid ca acit ,/! allons Length. . Width.. ..' ' .. Diameter................ Depth... x Disposal Trench—No. ................... Width.................... Total Length.__. ..Q _...... Total leaching area................ sq. ft. Seepage Pit No.......I.......... Diameter.... cz�-_..._ Depth below inlet�� ..... Total leaching area.9--- ....sq. ft. Z Other Distribution box (�'� Dosing Lqnk `" Percolation Test Resul s Performed by..... .. .. . .. . . -----_� Date... aj .... . .. .. Test Pit No. 1.�..�ninutes per inch Depth of Test ....... .......... Depth to ground water..O.V-el_-W .................. Depth toround.water....._.............._...LL, Test Pit No. 2................minutes per inch Depth of Test Pit.. p g /•- -,----- --- .--•...... ...5-o. .... ..........O Description of SoilZ7=.,? - .% L.. .-/ ................... J rN'_'. " � U ................••-..............------•--•-••---......-•-- ...._..--•--••••-••-••••••-•-------....••-••••--•--•--.........--•--•-••--•••----...................••••••..............•---............ w x -----------------------------------•---••-------•--------•---------•-•--•....----------........•--••-----------------•---...--------•-••-----------.............................._.........--•--•....... 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 L ITL U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ssued-by the board of he—al th. ..••... ....... ._.... ApplicationAppro ed --•-•-• ....... _._ .................................................................... �l- 7.- .............. Application Disapproved r the fol ng reasons:...........................••-•---...--•---••------................----••---.....---•-.............--•--••--- .... ...........•••-•--...--•••----........•-----------...............•-••......_.........................................-•-••-------.. . ........... Date _ PermitNo....................•---•--..........--••-•......... Issued....................................................... Date S� y THE*COMMONWEALTH OF MASSACHUSETTS ` BOAIRD F HEALTH ..............OF.....:.., „% = - Appliration fur Disposal Works Tonstmrtion Frrutit Application is hereby made for a Permit to Construct (,�() or Repair ( ) an Individual Sewage Disposal system at: , ` �✓'�) ..............» �f»3 I».»�::: t.::... .';__»t..i /- s......»�A.�....•...... ✓.r��-�:.... »......»»....«....».... •Lo .ation Address fly .,,. /�! or Lot No {�-• W Owner Address a ..............................•----•-•---•••'Installer_•..........................._........... .......---...._..............----••--••---•-Address ...------•.....••---............••••••... Type of Building Size Lot_._��r.x,:�Z.Sq. feet Dwelling `''<O of Bedrooms....._ ..... .............................Expansion Attic ( ) Garbage Gunder (J6 '4 Other—Type e of Building .............. No. of ersons............................ Showers pr YP g ---•----....-- P ( ) — Cafeteria ( ) d Other fixtures Design Flow.....................:%. . .........gallons per person _r day. Total daiYy flow.._............ '" .: :. ... gallons. WSeptic Tank—Liquid capacity./eis gallons Length.____.::... Width..1_lo. Diameter................ Depth..�V_:_,f... x Disposal Trench—No.....................Width.................... Total Length.__..., ....... Total leaching area...�....�..so. ft. 3 Seepage Pit No........�........._ Diameter...., _...... Depth below inlet::�_ ..... Total leaching area ..:.e ..sq. ft. Z Other Distribution box (A-r' Dosing tank Percolation Test Results Performed by....... ' .............. .....�°•- ¢ ' _ Date.... � .:�-�.' 2 . �- ......... ..... ..•7•........ ....... ,.a Test Pit No. 1 Z..........minutes per Inch Depth of Test �t.....Z z-...... Depth to ground water.raS:j:' e—.,42, Li. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 !" -... ---•--•............... ...<... .. - -• ' •- yf,ly� ._./' _. �......... . ice' Descri tion of Soil. - �_•'` ,r; 1 ,'ri�a:�at! ,.� -/�- ,/ eC_ i= ; - - s p ...,.-- �':................ •---____---•- --.......`-r_'s,-. U -•........................•-_._--•---•--•-•-•-•----•_-_____ ---..........-•---..........._..............._....-----••---...-----•---•--.......------------.........--••-----•....................... W ........-••---...---•••-••--••--.......•-•.............•-•--•-•-•-•-•••........•••....•-•••-•.....---•--••-•-•--••------•-----••------•...............--•-•...-----............._...................... 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 iITLE 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 head ig f . Da-Te Application Approved-By.... Date Application Disapprov for the f owing reasons:--••--•--........--•--•--......---•...................••----•---.....---------__---........___•••----•--__»»» ......-•-•------•-•-•.................•---•--•------......-•---...---••----•---••---.....-----•--------»....---•--------.............----•-----•---•---....-------•---...--•............••-•----_...»» Date PermitNo...................................................».... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF............................................................... Grtif iratr of faomplianrr _ THIS IS TO CERTIFY, That--the Individuual-Sewage Disposal System constructed ( ""-or Repaired ( ) by......' :. !.................� ``r .:_'__......». •---•--••X........................................................................................................ 4'�7 rt- i{ Installer _..»_..» ............ -; -------•-.- --______-----.- --------____-_-----------....... ... --------•--•------------ has been installed ,inc P �ordanc with the provisions of T -__r State Sanitar scribed in the i application for Disposal Work Construction Permit No......................................... dated.........................._..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................................•-...---•---••----........-----•....._.. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ? ! BOARD OF HEALTH ..........................................OF..............................................---....------.......................... �a No...................... Fiz.....................». Disposal Works Tonstrixrtion f remit Permission isreby granted.._. �114ml �, i' ........... to Consfriie(: or Repair ( ": n Sewage �posal System atNo.. ................... .. ............... . ..... ......_....... ........... r Street as shown on the application for Disposal orks Construction Per .................. Dated........................................ r" J .......... .............................................................................� DATE_ 3 / �( Board of Health .............. FORM C-1255 CITY& TOWN FORMS, INC. 369-9708 ' r 05 2016 16:13 Jim The Inspector Man 5085349919 page 1 a Commonwealth of Massachusetts J� i D� oz�3 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 74 3 Leona Lane .� Property Address t-•► Alan Berkley Owner Owner's Name s information is required for every psterville +� MA 02655 4-4-16 - page. Cityrrown State Zip Code . Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered'in any way. Please see completeness checklist at the end of the form. Important:When A. General Information J� filling out forms § o'n the computer, IN OFAjg N use only the tab 1. Inspector: ��2 •' ..'Cy key to move your � JAMES cursor-do not James D.Sears =�c =M use the return Name of Inspector C4 key. Company 'nterprises, LLC ¢ � Name Tr 1..A, 153 Commercial Street �i, ,s INsp�G+,.�`O HIHN1� Company Address • Mashpee MA 02649 Cityrrown State Zip Code 508-477-8877 S1623 ' Telephone Number. License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes, ❑ Fails. ❑ Needs Further Evaluation by the Local Approving Authority 4-4-16 _ peclor•s Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd,or greater, the inspector and the system owner shall submit the report to the appropriate iregional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""Thls report only describes conditions at the time of Inspection and under the conditions of use - at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 15ins•3113 • ' Tille 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 2 Commonwealth of Massachusetts wo Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA 02655 4-4-16 page, City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/ always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: The system is a 1000 Gal.Tank D Box and two chambers.. ` B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined"(Y,N, ND) for the following statements. If"not determined," please explain. The septic lank is metal and over 20 years old' or the'septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a-Certificate of Compliance indicating that.the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5ins-M3 Tills 5 official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 3 Commonwealth of Massachusetts Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA' 02665 4-4-16 page. C�Y' !Town State Zip Code Date of Inspection B. Certification (cost.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): . ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y; ❑ N '❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑. ND (Explain below): ❑ The system required pumping,more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. ' - 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will.protect public health, safety and the environment: % ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-ail Tltle 5 Official Inspection Form:Subsurface Sewage Disposal Sysiam•Page 3 of 17 , Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 4 Commonwealth of Massachusetts P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name Information is required for every Osterville MA 02655 4-4-16, ' page. City1rown State Zip Code Date of Inspection B. Certification (cunt.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form_ 3. Other: f D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No El 0 Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in seempost is less than 6" below invert or available volume is less than'/2 day flow A FA(WING 15ins•3/13 Tills 5 Official Inspection Form:Subsurface sewage Disposal Syslern•Page 4 of 17 r. Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 5 Commonwealth of Massachusetts • Title 5 Official Inspection Form P ii Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA 02655 4-4-16 page. City/town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1`of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [this system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this forml ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system a#Jh. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either'yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply El ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is.located in a nitrogen sensitive area (Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section,D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments r 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville - MA '" 02655 4-4-16 page. CRylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous.two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not ® El available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Z Was the facility owner(and.occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CM 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 16.203(for example: 110 gpd x#of bedrooms); 330 Mns-Y13 - .Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page El of 17 Apr 05 2016 16:13 Jim The Inspector Man 5085349919 page 7 Commonwealth of Massachusetts Rom 0 Title 5 Official Inspection Form 6 Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is Osterville MA 02655 4-4-16 ' required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1000 Gal Tank D Box and two chambers.. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ -Yes ® No Seasonal use? ❑ Yes ® No Water meter readin s,"if available last 2 ears usage d 2014-59,000GaIs 9 . ! y ,9 (9P ))� 2015-62,000 Gal's Detail: Sump pump? ❑ Yesµ® No Last date of occupancy: NA Date CommercialiIndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203):. Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank presents ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water,meter readings, if available:. 15in8-3,113 Title 5 otTidel Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Apr 05 2016 16:14 Jim The Inspector Man 5085349919 page 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is Osterville MA 02655. 4-4-16� required for every - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) . Last date of occupancy/use: N_ Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? 4 ❑ Yes.® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system` ❑ Single cesspool r. ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) El -Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ : Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 5 o1 17 Apr 05 2016 16:14 Jim The Inspector Man 5085349919 page 9 Commonwealth of Massachusetts ' Official Inspection Form Title 5 O p Subsurface Sewage Disposal System Form - Not for Voluntary Assessments • r 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA 02655 4-4-16 page. Citylrown State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known)and source of information: 2001 Permit # 2001 - 759. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 22" feet . Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet _ Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed b a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 9 Y - Dimensions: 1000 Gal. Precast H-10. Sludge depth: 1" l5ins•3113 Tige 5 Official inspactlon Form:Subsurface Sewage Disposal System•Page 9 017 i Apr 05 2016 16:14 Jim The Inspector Man 5085349919 page 10 Commonwealth of Massachusetts Title 5 Official Inspection Foam A Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Ostenrille MA 02655 4-4-16' page, City/Town State Zip Code Date of Inspection D. System Information (cost.) , Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29 r . OilScum thickness Distance from top of scum to top of outlet tee or baffle 1211 18,E Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Asbuilt-Tape Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level. Tank and covers at 1' below grade. Inlet tee, out let.baffle. No sign of leak age or over loading. Grease Trap (locate on site plan): Depth below grade; feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass, ' ❑ polyethylene ❑ other(explain): Dimensions:. Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last,pumping: Date tSins-3113 Title 6 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of.17 Apr 05 2016 16:15 Jim The Inspector Man 5085349919 page 11 Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Ostervllle MA 02655 4-4-16 ` page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ., ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene - ' ❑ other(explain): Dimensions: Capacity: G gallons Design Flow: gallons per day 4 Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): 'Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ins-3113 Tile 5 Official Inspection Force:Subsurface Sewage Disposal System-Page 11 of 17 r _ Apr 05 2016 16:15 Jim The Inspector Man 5085349919 page 12 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville b MA 02655 4-4-16 page. Cityfrown State Zip Code Date of Inspection D. System Information'(cont.) Distribution Box (if present must be opened) (locate on site plan): . Depth of liquid level above outlet invert 0 Comments(note if box its level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16" -44" below grade w/cover at 28". Box is clean and solid w/no sign of over loading or solid carry over. A Pump Chamber(locate on site plan): Pumps in working order; ❑ Yes ❑ No" Alarms in working order: 0 Yes- ❑ No*. Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): • If pumps or alarms are not in working order, system is a conditional pass_ i Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: a 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 y Apr 05 2016 16:15 Jim The Inspector Man 5085349919. page 13 Commonwealth of Massachusetts' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3 Leona Lane Property Address - Alan Berkley Owner Owner's Name information is Osterville MA 02655 4-4-16 required for every - page. City(Town State Zip Code Date of Inspection D. System Information (cont.) Type; ❑ leaching pits number: . 2 ® leaching chambers number: t ❑ leaching galleries number. ❑ leaching.trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding,"damp soil, condition of vegetation, etc.): Leaching is two 500 Gal Dry well chambers. Chambers at 50" below grade.w/cover at 1'. Chambers ar dry w/clean wall's. No sign of over loading or solid carry over. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of,liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No , t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 0117 Apr 05 2016 16:16 Jim The Inspector Man 5085349919 page 14 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA 02655 4-4-16 page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) f Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition.of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil; signs of hydraulic failure, level of ponding, condition of vegetation; etc.): t5ins•3113 Title 5 Official Inapection Form:Subsurfa-e Sewage Disposal System•Page 14 of 17 Apr 05 2016 16:16 Jim The Inspector Man 5085349919 page 15 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments r 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is Ostervllle MA 02655 4-4-16 required for every - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately P-1 3146 H C Y PFak o A . £c� a { t5ins•3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page,5 of 17 f Apr 05 2016 16:16 Jim The Inspector Man 5085349919 page 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name information is required for every Osterville MA 02655 4-4-16 page. City(Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells MID_ Estimated depth t high ground water: ti feet Please indicate all methods used to determine the high ground water elevation: t ® Obtained from system design plans on record If checked, date of design plan reviewed: 12-3-01 Date ❑ Observed site (abutting propertylobservation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation)• ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H. on Design plan12-3-01 no G.W._at 11'.. Bottom of chambers at 6-6" below grade. Bottom of chambers at 4'-6" above T.H. Depth. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inepedion Forth:Subsurface Sewage Moped System-Page 16 of 17 Apr 05 2016 16:16 Jim The Inspector Man 5085349919 page 17 Commonwealth of Massachusetts :- v Title icial Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 3 Leona Lane Property Address Alan Berkley Owner Owner's Name requinform r on is Osterville MA 02655 4-4-16 requiredd for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file s 15ins.•3/13 - - Title 5 Official Inspecdon Form:Subsurface Sewage Disposal System•Page 17 of 17 No. Fee 5 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYieatiou for Disposal 6pstem Coustru>rtiou permit Application for a Permit to Construct( ) Repair(>� Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 3 Z E6A)A &A" OS'I, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel l I q ®5 Oa 3 �4 LGOAoti'��V RK—C f�s�'8r( Installer's Name,Address,and Tel.No.56OZ477-IM71 Designer's Name,Address,and Tel.No. vAP6;LeXVi✓ 4-Lc- N 1 l Gr! ST l�I A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) OE gpd Design flow provided A gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. , Signed Date 3-P-4-aolS, Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued 17 s a � 1 No. '� .. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS_ Yes Tipplication for Disposal *pstem Cotstruction Permit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No. ". 3 ar FlyVA LA 04 ®S t, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 119 oa 3 3 L.60 VR�AryGW C 65 e/ Installer's Name,Address,and Tel.No..5pg_(�y7,.gg-7-7 Designer's Name,Address,and Tel.No. (?Ai9&WCD6 t_(-C N 1A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) N�- gpd Design flow provided /l - gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil �A Nature of Repairs or Alterations(Answer when applicable) C-(u GtfpJ(ScE 1 Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of t Compliance has been issued by this Board of Health. Signed Date Application Approved by Date l Application Disapproved by Date for the following reasons Permit No. Date Issued ------------------------------------------------------"--------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by QA PE-(.c)(M � A CC-C— at 3 LG6IV A 114)yE nS`rF-i ,yicL! has been constructed in accor ance r with the provisions of Title 5 and the for Disposal System Construction Permit No. t -'(7 dated l ` w InstallerCAP&-t¢,)(nC Ci�T'_7�PyW Jfj� LL.L_ Designer A #bedrooms N/T Approved design flow s gpd The issuance oft 's p r(m__it shall not be construed as a guarantee that the system will nc�on,as designed. Date YJ Inspector 1 ' ------- ------- ---.- .---------- -------- ------ ---- ------------------------------ No. a`G ( Fee 75 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal r6pstem Construction permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at 1 ,C_,bx_/4 IAA) = rg( k_997 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be c mpleted within three years of the date of this permit. c c ) Date � �� Approved by AsBuilt Page 1 of 1 TOWN OF BA.RNSTABLE L LOCATION _+ . ( - _ ( SEWA'GE# Aernt-7y'J_ VILLAGE �_ST�—rz l�t S ��`, ASSESSOR'S MAP&LOT flbl ram. INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY _ltran ear LEACHING FACIL11Y: (type)Tiz fl If- e,t� -,,„ rsite)�1F rt_,r f3 iJ fCaJ NO.OF BEDROOMS_ _,�; BUILDER OWNE PERMITDATE: COMPLIANCE DATE: t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S¢ Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) r^ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by_)119111/Aklz iC S 5ab � X7 http://issgl2/intranet/Propdata/prebuilt.aspx?mappar=119059003&seq=1 4/4/2016 TOWN OF BARNSTABLE S � l �- LOCATION 1 - ( �.(_ ;SEWAGE # _ --7S-J VILLAGE ASSESSOR'S MAP & LOT1if Cq-3 INSTALLER'S NAME&PHONE NO. e-,2_-�-"B-t_ �P- SEPTIC TANK CAPACITY Je-Wn-jr-A t LEACHING FACILITY: (type)�i ez K4$4- CuG4..*LZ4(size)-J- -tz-X-t3 tJ Z.LI . NO. OF BEDROOMS BUILDER OWNE �t PERMITDATE: Z� - 1 �'-a! COMPLIANCE DATE: t 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 )Kr,c� wal&v A 71 i No. ,�-Z�� G 4�7 j Fee '15;�—";D THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZtppYication for 30i5pogal *pgtem Conotruttion Permit Application for a Permit to Construct( . )Repair( ✓)Upgrade( )Abandon( ) El Complete System Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor'sMap/Parcel 05^1ilP ,,W Aore Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. V 33—ZI 7, 01 fv� ca3 Type of Building: Dwelling No.of Bedrooms Lot Size 2sq.ft. Garbage Grinder Other Type of Building 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7 Design Flow_�� gallons per day. Calculated daily flow 7t gallons. Plan Date )ho Number of sheets / Revision Date Title l D-9 e4l e IQ.J D Lev i Size of Septic Tank /®ayaW 2___/rh9� Type of S.A.S. �✓`�� G ¢��' Description of Soil Z)e L elXr.3 Nature of Repairs or Alterations(Answer when applicable). ��`� . ,� �•�L° �/l�l Date last inspected: Agreement: The undersigned agrees Im 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 issued by tBLVr H th. tSigned Date Application Approved by Date Application Disapproved for the following reasons Permit No. ;P, Date Issued2% �— M3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i Yes PUBLIC HEALTH DIVISION -TOWN OF:BARNSTABLE., MASSACHUSETTS 2pprication for Miopozal,,*py tem Construction Permit Application for a Permit to Construct( )Repair( ✓)Upgrade O Abandon( ) El Complete System Individual Components Location Address or Lot No. / /f `h Owner's Name,Address and Tel.No. l� y l ' t Igo /laidrr� Assessor's Map/Parcel 051rnl� lro Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. S Z/ 7/.. . Q ° Type of Building: Dwelling No.of Bedrooms �_ Loi Size"r .92 y sq.ft. Garbage Grinder Other Type of Building 4� /dl�"_'& No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per dray.-CAlculated,daily flow 3 gallons. Plan Date /Z 7ttp/ Number of sheets -Revision Date � Title % : �- 5 eWey 104 O Size of Septic Tank /D'Oao4/ ;-j)jam Type of S.A.S. Description of Soil r 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 issued b ' Board-o H lth. l��/ Signed Date Application Approved by " f Date,--& � � E Application Disapproved for the following reasons ' z 5 Permit No. 44 0'*7-z'_`7' Date Issued f" ate fi + THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate,of Compliance THIS IS TO CER IFY, that the On-site ewage Disposal System Constructed( ) Repaired( +/ Upgraded( ) Abandoned( )by C � % at 3 ea,`?9' t o has.been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No':0A*,---X0Vdated Installer Designer The issuance of thi permit shall not be construed as a guarantee that the systemwill[function a d ign d. Date 1/n X 1 Q InspectorGWt�i1,� i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5potal *pgtem (ton5truction Permit Permission is hereby granted to Construct( )Repair( V-)Upgrade( )Abandon( ) System located at 3 GP.�/7l� ells �✓ 1��1/L� 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 off/ , mut. , Date: ' � ' �l Approvedi �li �.r,0_2_� i _ I Rmm !m ASSESSORS MAP.. �W ( TEST HOLE LOGS PARCEL : �,57'3 FLOOD ZONE: SOIL EVALU TO �pu,5 _. Cr�c�9 ,� _- --- v SQL, � REFERENCE: - cr�C. # ��zJ�, �9�E /� DATE: _ ; IJ f71' '� * i i,D,H, #�-fC e7 r PERCOLAT ON RATE -__._ /I�/H/ I �,( , Eli) rl co�(Po`,{c`'. -�-- TH- I TH-2 l��lilO'�• 1V 11�.1��'u."�(J�-1 � _ _. • 3, OtZ(��t,.I IC, A4 ��q�14 ::5c- 14 q0. lo' l�aw� 5 � �� TLA^ ,1 LOCATION MA VY I p.� I - - — �1 (64,e� Uri I 13ti .13j1 -)LIK4 AWAAIT- . ar r- _ -- soo SEPT I C SYSTEM DESIGNS , -7 0 - —,�o' --� \\ I� x , � yu.S c7, - FLOW E S i I MATE - }'�J►�'( A2,� 25 �J¢•P,�}[,1-7 j/,E'�Q /F'j,�[� �Q� !� BEDROOMS AT ( I�GAL/DAY/BEDROOM - �GAL/DAY / Vd y9G �'� ti1d ��LHGL /7`t� o (nE Q, lL; d--; / lam-. -��-5 T I C T, K GAL/DAY x 2 DAYS - ( bD GAL USE /ZL'?GALLON SEPTIC TANK SOIL AB.ORPTION SYSTEM � 7 �� O � � U �(]w�(. l!��/ � b••j a v.,� '" c`}',�;�''� , AAC.s�.3N .. SIDE AREA: Z Zy -I- 13 xZX ,7 = I �,� 9 oloee bf' \ BOTTOM AREA: Z / ?C �7 �' q* �P♦ r� r l � � � / Z�,V8 ITAA � v 0 1 C SYSTEM SECTION -- — i A �T;q v4pA, Z vMk�. ktR J ,may ��f�u� 158 0 Q GAL �r QI tJo�gSt-}f�J � � �P`jH of a�Sm SEPTIC TANK GGY ! 7 �Q� l l `3 " I I,Z 1�pV'BvL�, DONA '�'s C3� /J"/.�ll / f✓ / No.29.M y V\, 4M'SUR' _ I SITE AND SEWAGE PLAN LOCATION flnzjI PREPARED FOR : Klv7,1�,o �-� ►��jl.l� , , ___.___ -- oL�-UI�,u� Yv o fl_ a� _ /5 „t r 75 _ b. / 8� _ SCALE: I =Z • �, / / y30 DAV I D B . MASON, DATE : /2 7 0 DBC ENVIRONMENTAL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT ( 508 ) 833- 2 1 77 ti La-) 71 p/Jl + i \ C \ ` I Q �G 1 7-2�37 AZ- n-4 ii y .ELT fir' _ _3�U :��. A? ,'iC'"��. -�".•%s:"'�,{/' /��%�' � � cif � /�f�EI .�.-!C�• \ �� 77 � ! 4 i Z LF�k -" F7. .3 q I s Al oo l yam! `—}- /Z_ ".tip rf �,v:� SUS✓,��.�� / i •"y'..' �/��i/iSf/ f �.' +- C.-1I'+'IC.�'V?�i`+Q" �J��— /"'/ fJf/ / �+. 'p"I �tl1 i psi..,Of t A. r`._ ,.t.. /mid�- ��,/J✓. � �_� _i.._� 1� wt.r+--� �.S ��, i.,.i'' .T s j• / , -r.:;- � �L.4,'►/ /S i!/G�' 1�.9.5�1� �">..�'�.i//itf�:jr",�.,='t..��w',E�'� `s" ,� `��, � ,s��,E:_�,%�-,�- ,4,�c,'� r�� o,�;�'��"�� .Sti'�-:�•��.��:.�� ,vim---. � : :,, _ -,�. .._.a.�,._- ;, - . ��,