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HomeMy WebLinkAbout0016 OLD EAST OSTERVILLE ROAD - Health ° ° o —)TOWN OFFBARNSTABLE LOCATION A4 0-4�2tD, Nr 2k149 SEWAGE# VILLAGE ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY. V ' �r 1 s� LEACHING FACILITY: (type) ��X�' at (size) NO.OF BEDROOMS BUILDER OR OWNER /10/S 1/�n/�Irl/() PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: 'Maximum Adjusted Groundwater Table and 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 Leac iing Facility(If any wetlands exist within 300 feet o e e-4=Wz- -- Feet Furnished by t 's J� s�n Old 9'A ;rr 07f X p> 1V TOWN OF BARNSTABLE LOCATION-�-'e ®Z e Z,4r7 SEWAGE# J� VILLAGE ®JTVLS a• L ASSESSOR S MAP&PARCEI�`�" 9 De/ INSTALLER'S NAME&PHONE NO. Ur- SEPTIC TANK CAPACITY �'g�1i%"6-- "0"17 6;� G"o.�G1e,'ae'T� LEACHING FACILITY:(type) c��t6s�� (size) 3>e aZ seXaZ NO.OF BEDROOMS OWNER e® PERMIT DATE: ® ������ COMPLIANCE DATE: to, 9 I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility XZ 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 Cr_)A�77 E-o m- feas . 30 4 (b o(v EPs4 � e✓v 1�Q S"/ 9 No ✓ 3 2 / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Pis osal *pstem Construction Permit 14 04,3 49MT sue-/CC�o Application for a Permit to Construct( ) Repairh�upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No.ld"4*`r'l 10e sJ �•r'riP� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 11715 co q OI Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3p Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria'( ) Other Fixtures C Design Flow(min.required) �c 10 gpd Design flow provided gpd Plan Date /Q 1 '0 Number of sheets Revision Date Title Size of Septic Tank o 6Wdf 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 h. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. c ��� / Date Issued f� / e , ..c No /V� 321 l � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplitation,for bt8�1 ,sal *pstem Construction P' mit Application for a Permit to Construct( ) Repair�Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No./�fili-r'j 6,e 41 &%rZ'�ev Owner's Name,Address,and Tel.No. , Assessor's Map/Parcel I Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Zy Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ��G� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided y9 gpd Plan Date -000Q � � fir✓ Number of sheets -00 Revision Date Title Size of of Septic Tank / C^�' S.A. 0 o N 6��¢�'' t" p �"�/_PT /Yet �000 S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: 1' 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 It. �� Signed Date O�r Application Approved by Date s Application Disapproved by �f Date for the following reasons Permit No. lt�o/(Y —3 7 1 Date Issued Q �� ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by 1%� at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Np. —3 2 dated ��/� I Installer d - Designer U' k' ?.,Vr r Oy /C"f #bedrooms Approved desig gpd The issuance of t is pe 'it shall not be construed as a guarantee that the system will ction a)designe e Date f ( Inspector W`', i + / -n� No. l� `J Fee �G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(� Upgrade( ) Abandon( ) System located at -5 fw 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 b-compl ted/within three years of the date of this ermit. Date � �� /� Approved b From: 10/20/2016 10:43 #381 P.001/001 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director snxrJsrast.e, 'W, �0i; Public Health Division � 639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form 4�_5 0 Date: �v �%` Sewage Permit#1 :�"�,37/ Assessor's Map\ParcelDesigner:. 1 )� lk 'L`J Installer. Address: Address: � � i On ���� I� —' f was issued a permirto install a (d ak6 (installer) septic system at �Ct �'�`� li�J� l *'� based on a design drawn by t (address) j `W 1 M A��``� dated t 2"��C (designer) �X certify that the septic stem referenced above was installed substantial) according to P Y Y g the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. 1 certify that the septic system referenced above was installed with major changes (i.e. greater than l 0' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. 1 certify that the system referenced above was constructed iin co njiance with the terms of the RA approval letters(if applicable) �F<<tgs, T �cP UAVID 5�y`C MASON Gl v 'S�No.1066 R e " er's Signature) (Affix p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH 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. QASeptiODesigner Certification Form Rev 8-14-13.doc ,Ilti Town of Barnstable • � � . ' Departitnent of Regulatory Services q Public Health Division Date l a&/k Ad rEl!NI1li Al 200 Main Street,Hyannis MA 02601 ' t� Date Scheduled �i �4. Time Ae Pd. 33t 44. Soil Suitability Asses ent for Sew ge Disposal Performed•By:. 1) wimeaaea By: ej --------------- LOCATION&GENERAL INF'ORMA:TION Location Address Nome p Addres.s Assomar's Map/Paroel: Pao Engineer's Name-6,e,-A,7 4 NEW CONSTRUCTION REPAIR Telephone It Land Use Slopes(96) Surface Stones Distanceb f}om: Open Water Body ft _Possible Wet•Area ft DrinkingYVatcrWell . ft Dralhogo Way ft Property Line -�_R Other • ft 01MUCH'(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands 1n proximity to stoles) t 1 Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: p Weeping from Pit Fnoe Estimated Seasonal High Groundwater Method Used: DETERMINATION FOR SEASONAL-HIGR WATER TABLE Depth Observed standing In obs.hole: In. Depth to evil rnottlaat Dc11th to weeping from side of obs.hole: IIL Index Well f; Reading Dato: Index Well levai_ :__ Y� ArU,, Water Adjustment Aclrnun fhttar.....,,,. -Adj.amundwdter Level,, _ Obeervatlon PERCOLATION TEST p�t� �X7nrri - - Hole ip Time et9" • Depth of Pero • Time at 6' Start Pro-soak Time @ `' Time(9".6") End Pro-soak ,V I/ Rate MJh./luch a 2,41 ttV ' -ZSite Sullability Assessment: -Site Passed Sits•Failed. J Additional Testing Ncednd(YIN) r odginal: Public Health Division < Observation Hole Data To Be Completed on Back-- ***1 percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)Weeh prior to beginning. Q M EPTIC\PERCPORM.D O C DEEP-OBSERVATION HOLE LOG -Hole#� Depth from Soil Horizon Soil Texture Sdil Color Soli• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders. r e iet t o ncy.%'Orayell ' —/O ` IS Olej DEEP OBSERVATION HOLL LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other. Surface(in_) (USDA) (Mudsell) Mottling (Structure,Stones,Boulders. Consistenov. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muosell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munseil) Mottling (Structure,Slot►es:Boulders, Cns to q" Flood Insurance hate Map_: Above 500 year)food boundary No_ Yes _ Within 500 year boundary No s' , Yes ' Within 100 year flood boundary No,, Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring parviouspAterial exist in all at'eas observed thrpughout the area proposed for the soil ab orptibn system? If not,what is the depth f it turally occurring pervious material? A Certification Ifo I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training Be n xperience described in 110 CMR 15.01 . Signatur Datt� QAS L-PTICkPRRCPORM.DOC Z,` ; 4r PROPERTY ADDRESS:1•,6 Ol-& East Osterville Road Cr ,,ca o .lg� Osterville, Mass. ye�°4 48' `'( 0.2655 ' On the above date, 1 Inspected the s-eptic system at the above address. Thls system conslsts of the following: 1 . 1 -1000 gallon .septic tank,. 2 . 1 -Distribution box. 3 . 1 -1000 gallon precast leaching pit. Packed iti stone. Based bn my Inec actlon, I certlfy the following coriditlons: 4 . This is a title five septic 'system: "(''T-'8• Code ) 5 . The septic system is in proper working order at -the present time. 6 .• The septic tank should be pumped. Heavy scum and solids layers exist. SIGNATURr, : 1 Name J P Macomber Jr. i ; . �- ------- Company: `�• p_Macomber & Son- - , Address • •--Seac-66------a___..__ Centerville , 02.632 Phone: ' __:SQ8.17_S_.3338------- I THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC, Tank&-C#s.&pool&-Leachflelds Pump+d & Instilled ' Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5-333-8 775 6412 I -\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 i WILLIAht F.WELD TRUDY CORE Govcmor Sccrctary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissiona PART A CERTIFICATION Property Address: 16 Old E. Ost,Rd. Osterville Address of Owner: 186 Quincy,Ave . Date of Inspection: 9/3/98 Mass. (If different) Quincy,Mass. Name of Inspector: Joseph P.Macomber Jr. 02169 I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J P Macomb r & Son Inc_ Mailing Address: BOY 66 Centerullle, Mass. 32 Telephone Number: c5 A97 333 CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: The System Inspector all submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: PASSES: �gave not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: 410 One or more system components as described in.the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. AA The septic tank is metal, unless the owner or operator has provided the system inspector, with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:Uwww.magnet.state.ma.us/dep Printed on Recyded Paper r `J ' I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 16 Old E. Ost. Rd. Osterville, Mass. Owner: Dennis Morton Date of Inspection: 9/3/9 8 B) SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to.broken or obstructed pipe(s) or due to a broken, senled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box Is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed 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 the public health, safety and the environment. t) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: )� Cesspool or privy is within 50 feet of a surface water 40 Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: AAb The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. /d The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the pr`e,se�ce of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance � (approximation not valid). 3) .OTHER tiA f is wl�.d 0�/3S/S7) ➢&0. 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 16 Old E. Ost. Rd. Osterville,Mass. Owner: Dennis Morton Date of Inspection: 9/3/9 8 D SYSTEM FAILS: You must indicate eiv-er 'Yes' or e s as to each s, the following: I have determined that the system violates, one or The Boardre of the of Health shouldgbe failure criteria tto determine Iwhat will^be 15.303. necessary to basis o'ect � for this determination is identified be the failure. Yes No/ �/ Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. .2 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 levei^l in the ist%utiioonn fox above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in kefteel'is less than 6 below invert or available volume is less than 1/2 day flow. tr Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(sI. Number o l pumped d f times (9 Pe LL• ZAny ponion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any ponion of a cesspool or privy is within a Zone I of a public well. Any ponion of a cesspool or privy is within 50 feet of a private water supply well. ZAny portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: You must indicate either 'Yes' or'No' as to each of the following: The following criteria apply to large systems in addition to the criteria above: u The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No; the system is within 400 feet of a surface drinking water supply r the system is within 200 feet of a tributary to a surface drinking water supply /V�- the system is located in a nitrogen sensitive area (Interim Wellhead Proteinion Area - IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please.consult the local regional office of the Department for further information. (r%viaed 01/33/)7) P�9. 3 01 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Properly Address: 16 Old E. Ost. Rd. Osterville,Mass. Owner: 9/3/98 oate of inspection:Dennis Morton Check if the following have been done: You must indicate either "Yes" or."No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. _ V None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ Y The system does not receive non-sanitary or Industrial waste flow. _ The site was inspected for signs of breakout. _ All system components, &ycluding the Soil Absorption System, have been located on the site. Z _ The septic tank manholes were uncovered, opened,and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. — The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. y _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (:.vi..a 04/2s/37) D.y• 4 of 10 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 16 Old E. Ost. Rd. Osterville,Mass. Owner: Dennis Morton Date of Inspection: 9/3/9 8 RESIDENTIAL: FLOW CONDITIONS Design flow: ,p, Jbedroom for S.A.S. Number of bedrooms: �j� Number of current residents: Garbage grinder (yes or no): o Laundry connected to system (yes or no): t?s Seasonal use (yes or no):I� t A Water meter readings, if available (last two (2) year usage (gpd): 1C'S a141��As= Sump Pump (yes or no):Aa �'IZ G./�/ Last date of occupancy: '7d ` COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: A)H ¢allons/day Grease trap present: (yes or no)A&4L Industrial Waste Holding Tank present: (yes or no) Non sanitary waste discharged to the Title 5 system: (yes or no)A0-- Water meter readings, if available: VA Last date of occupancy: .0 OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pan of inspection: (yes or no)" If yes, volume pumped: © all s _ ) / Reason for pumping: �� � 'r" l rh„�. J ,� s ij OGIf�Gf �G11�'l /yP v �r S�ZJ A011 TYPE ,SYSTEM 2Septic tank/distribution box/soil absorption system Ak) Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Copy of up to date contract? aher APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (revised 04/73/)7) D&ye 5 o1 10 SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 16 Old E. Ost. Road Osterville,Mass. Owner: Dennis Morton Date of Inspection: 9/3/9 8 BUILDING SEWER: (Locate on site plan) Depth below grade:A� Material of construction: _cast iron /0 PVC_other (explain) Distance from fprivate water supply well or suction line 44 s0 Diameter �_ Comments: (condition of joints ventin evidence of leakage, etc.) Joints appear �i h . No evidence of leakage. System is vented through the house vent SEPTIC TAN K: 1aaa OvId A (locate on site plan) N Depth below grade: Material of construction: Yncrete _metal ,_Fiberglass _Polyethylene _other(explain) If tank is metal, list age A2j Is age confirmed by Ceniffi .icate of Compliance�(Yes/No) Dimensions: P I.aN/ k/ i �/7))/! Sludge depth: 911 r /( Distance from top of sludge to bonom of outlet tee or baffle: Scum thickness:_ Distance from top of scum to top of outlet tee or baffle: ,� Distance from bonom of scum to bottom of outlet tee r baffle: How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Pump tank -every 2-3 years _ see t i r shims l rl ha I:iimeprl at this ti mp HpAyt== cram and cal ids 1 aye-rS cXjg+- =n1 ai- 8, ^"tl Qt :LQQ arc i n pl anc T i lid !6%IQI at thQ Qwtl pt JR;Ler't= Is4 rg�Jghe—a k r GREASE TRAP: t (locate-on site plan) Depth below grade:'Vh Material of construct.one/Qconcreta{/Ametaf�l/, iberglassA49Polyethylenethqother(explain) AM Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bonom of scum to bottom of outlet tee or baffle:04 ' Date of last pumping: � Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,-etc.) Grease trap is not present r (r.v1..d 04/15/$7) Y.y. 6 of 10 A*, t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 16 Old E. Ost. Road Osterville,Mass. Owner: Dennis Morton Date of Inspection:9/3/9 8 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade:. Material of construaion:OvAconcreteJ4metaf AFibe(glassA)APolyethylene-VAother(explain) AJA AA Dimensions: A Capaciry: gallons Design now: Nh gallons/day Alarm level: kjfl, Alarm i working order Yes;42 No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) Tiqht or Hoiding Tanks are not present DISTRIBUTION BOX: (locate on she plan) Depth of liquid level above outlet invert: Alb Comments: (note it level and distribution is equal, evidence of solids carryover, evidence of leakage into or,out of box, etc.) The distribution box has one lateral_;No evi den _p of col i rIg r-;;r,-y over.No evidence of 1pAka�ZP intn mr-_nut of tk.e--box. PUMP CHAMBER:/Ld(W— (locate on site plan) Pumps in'working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appunenances, etc.) Pump chamber iG noi-- nragant (r.vis.d 04/2s/)7) P.y. 7 of 10 r r� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:16 Old E. Ost Road Osterville,Mass . Owner: Dennis MOrton Date of Inspection: 9/3/9 8 SOIL ABSORPTION SYSTEM (SAS):—/ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number: d leaching galleries, number:, leaching trenches, number,length: leaching fields, number, dim ions: overflow cesspool, number: Alternative system: A Name of Technology: L Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) oamy sand o me ium tine sand•No sins of Hydraulic failure or on ing;All vegetation is normal -- CESSPOOLS:libee. (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 (cesspool must be.pumped as pan of inspection) Cesspools are not present - Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Cesspools are not present PRIVY: Lld/ G (locate on site plan) p Materials of construction: Dimensions: Depth of solids: M Comments: (note condition of soil, signs of hydraulic,failure, level of ponding, condition of vegetation, etc.) Privy is not present (revised 04/2s/)7) Page I of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION fconlinucd) Propcny Address: 16 Old E. Ost. Road .Osterville,Mass. Owner: Dennis Morton Oalc of Inspcclion: 9/3/98 SKETCH OF SEWAGE DISPOSAL SYSTEM: include its to at least two permanent references landmarks or benchmarks locale all wells within 100' lloNe Di +atc/S,u0o fsA � cry i o r �c 6( _ C lr.,.s.,a os/7S/stl 169. J of so SUBSURFACE SEWAGE DISPi;:�;,1 SYSTEM INSPECTION FORM P..r.T C SYSTEM INFOR'.t .PION (continued) Property Address: 16 Old E. Ost.Rd. Osterville,Mass. Owner: Dennis Morton Date of Inspection:9/3/98 l Depth to Groundwater AS Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property)observation hole, baserne.r*sump etc.) _4Z'*Determine it from local conditions Check with local Board of health Check FEMA Maps —Zcheck pumping records heck local excavators, installers Use USGS Data Describe in your own words how you established the High Groun4�,rer-Elevation. (Must be completed) Used water contours map. Gahrety & Miller Model 12/16/94 1 � ya•m:nr+r.—n•rs�.�t—.rnrmrnmrrrnrtrsrrr�rarrmwrrrnrr�rnr+•nsrn'rY rnr�rrvn rre. 'PORN OF Barnstable LIOARD OF HEALTH SUi1SU[tFACF SEHAGF I)ISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I � 1:-•rrn-r••.-: .—r.rrr.-.-rrtnr.+n•n.+rrrwaivs+ran�errram*nrnwrrarnm►�`r*+nove*mmnnesnw•ers t.mn ..rirrr•r.-ter—r.1 -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDREW 6 Old E. Ost. Road Osterville,Mass. ' ASSESSORS MAP , BLOCK AND PARCEL # O 0671 OWNER' s NAME Dennis Marton PART D - CERTIFICATION Y NAME OF INSPECTOR Joseph.P.Macomber Jr. COMPANY NAME J.P.Macomber �& Sor1''Ync. COMPANY ADDRESS Box 66 Centerville,Mass. 02632 Street Town or City State ZIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 ) 790 - 1578 R A CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of ,inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : _zSys teui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 16 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con cted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspection fo m , g'e Inspector Signature Date -' One copy of this certification must be provided to the OWNER, the BUYER ( Where applicable ) and the 130ARD OF HEALZ`ll. * If the inspection FAILED, the owner ,or " 'Perator shall u within one year of the date of the inspection, unless allowed dortrequiredm otherwise as provided in 3.10 CMR 16 , 306 . partd .doc l V 1 70 THE COMMONWEALTH OF MA.SSA.CHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws_ Issued by The Department of Environmental Protection. It...C x 199� Acuity. Dirccic>r of the l) i ion of' walc:t !'ullutiun C�OMN1l { Y { h ✓ r j0, 'f a �ti � �J�•_����..� f 1 � G it F�'t1'`j" Y � S f � �''�t t� wit .b 3�i 4� .e - ''1 s F ,r`-' r 15�yt �4f. �r•� ,_ �1 i9 a -::. ;1..•>� t mil a _ i �� P r^ Y` r4f „d � � '. r a1-4 4- 4 r Y�'1f "t. d+ �� '"��.'g�p� f "i�`�4. • ' r iy !\tA `"a*"T ' t' ��c �r j e �t=� 4� i �, ^.,.0 c - s','I- t f n a �.) i '. 4 3`' t s':. "� ''�K �r2 0k 7 i -... i'tvrw n.• F t 1�( '�� � t p i L y J ,t y f � i i bt•ly�. �,� 1 � .�t _ 4 e,i f� � 1.a � ��k , o kV JA G, 7� f/ C7G J + x vsf ' i f Y• �y fy �Q5� r *�J•- G i a ek rP t tr k j OF R08ERTt h., F I U BUNIKIS p7 to L E G EN U., EX19T'ING' ..SROT` ELEVATION 0 <0x C.ERTIFIED` x PLAT pYsk ' E7f1STtWf3 CONTOUR' FigI S Mf D Fri 0 . .�S PO^.7 E L� �.�d O N'—IQ F1' iiSNEO CONTOUR 0. t ' APPR'OVEt)%i BOARD OF sHEAL TH • AS'..y' ®AYrE AGENT S� -_ - A lE bATE � F� 4 a`rf FNG/NEER/NG /NG� ��s, Gv _ CLIENT , ,. I CERTIFY THAT THE , Rt `TERE� i'REGIsTEREDI JGO NO.900:SZ "BUILDING _SHOWN ON Twit,Y y=CiIVIL LA N.D y bR-'BY . /1 , /� CONFORMS TO.JHE ZONINf F � " G1N,EER-S� I,SURV•EYORS�- r OF :BARNS ABLE M iN.Sr 7!1 M� N ..' CH BY /?. % !3 : A.S' 4 i s 4, f S0. rV , MASS =- - DpTtE GI HYANNI Zrf HfE T 0 F REG LAND 5 _ r' ..M ?y' 'ice_ ' `aye .t ,�yr { l .. �� ba.•. WWI �� c13��aP:;��t; ':� '4i` »�' '� � .� •,1t .- r !`+Y r 3 tvK'r .•=.'-�� 's€: *�_. _ , w • .... .. - 7;i f4 _� .. .�.._"w 1aM - � x �, �, :� �1��. � , � SJVa�1.jCL` �ir�:��dld�►.�►T ?'®��i' .��i�. � MIAK � C�NCRC7'�� *�S� g, % 1'�E'`Ai!y"C�1 S�`/!P®JY CD NL•'R.?iy.9L �' �!3 'CODA � lf=' /V rDRsyEI✓�t Y. ' ., �J• n/in/ CONCRLrTE' _ _ .s r.r` `�. o: x , GR.�4E CU✓ER ' A CZ EAN SANO 4 BAC.Je,= Ir 4"CAST ' IRON P/PE i IO D D' (AL OF . a � e e .• s . •. r v ac. WASHED,S7YJNE TA)VX D 0 At sT, o BOX. p 1 0 80 . ♦ 1 I r s d e sb.o r e'IEFFECT/✓L>r ' ! o r ° ► 1 ® Op iP gerr • � vo WASHED STONE . .0:.. � r r • e a • s11 0 40 , t -� _ _.. # e a,. a r e • e. . • e • • r p �.p. -- PRECAST SEEPAGE sa /AlMe vT 4LEVA770NS+ / , o o° to ■:•. • � • • a a ' o Q o 0/7 OR ZVLlJV. I /NYERT .4T BU/LD/NG ' T'.7. FT Cl G 6 FT INLET SEPT/C' TANK. 9'?. FT, q G _.:: FT. O/fiM. i.C SEE 7>WZ1LATJ0N>, OUTLET SEPT/C TANK FT, GROVNO. WATER Ti49LE /NLET O/STI?/�3UT/ON BOX '`-� -=- FT. SECT/ON O'F . Ol/TLETDJSTR/Bl/T/ON BOX FT /NLET LEACH/MG Ap/T FT. SEI�VAC�E /S°POSA1t.SYSTEM LEAC'N//VG A/T TABULATION: DES/GN CRITERIA SCALE : %a_" UJrIEJvs/oN A r �FT D/HENS/oN te FT. NUMBER OF 6EDROOMS _ ' D/HENS/ON C FT GARBAGEO/SPOSAL u/v/T t SOIL LOG TOTAL ES71AIA Ep FLOW' 3:�y GAL.�DAY SOJL TEST t ✓ SOIL TEST 2 SD/L TEST NUMBER L+F [EACNtau P/TS �FL�Y. F -E[&Y. ,DATE OF SOIL TEST S/OF L�AG'H/NCi PER P/T / SQ. FT. j. -- -, RESULTS W/TNQSSED 8Y '�: 907TO/W 464CHIAIr`P-R Plr- 7� $q: A '�' n PER COL AT/OIv RATE IIE/ L E = s IyiN;//NCN TOTAL LEACH//YG AR6A' ''SQ. FT. ` _ , AE1I'C0L_A7'/0N RATE/k2 "''"- ' ''' MJN: INCH RESERVE LEAC'NING AREA `_h�' $Q FT CC/V 1 Elz / c. L Er l. .. No.22162 - - E Ncr~NaRo :itpA v ANcaUNr�ER6o.; MY.gNNeS . MAs� sue.fix ,rrss Q GRDIJNO:YV.ATE.Q.t AT"ErLE6/+ JQ�. Z- 4 ." �-- THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH . ........of.........&A.. Vie-. 1s/.�a o9 Appliration for 11ispnsa1 Marks C ontitrnrtion l m'd f Application is hereby made i a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ` vrr .. � 0 6W Q cation-Address or Lot N Owner Is 1.4 C� Installer Address �— d Type of Building Size Lot...Myl_26....Sq. feet U Dwelling—No. of Bedrooms......._______............................:_Expansion Attic ( ) Garbage Grinder ( ) a0 Other—T ype of Buildin g _____V �� .�'-_—_...'No. of persons.......... Showers (� — Cafeteria ( ) dOther fixtures ......................................--•-•••••-------•-----------•••---..._•--•----•----- --•-------------- ------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing n ( ) S >J Q '-' Percolation Test Results Performed by...� ., _ (LNI........................... Date__../........ )•-©------. minutes per inch Depth of Test Pit____________________ Depth to ground water........................ Test Pit No. 1�_�,��._ - fZ4 Test Pit No. 224-4-kCminutes per inch Depth of Test Pit____________________ Depth to ground water........................ a _ - -------•-•----------------------------- .... -----•- O Description of Soil-__d.-- ...Z..----La' �---r.. _.5�2.1�� Z = -��� �' ......... ------------------------•---•------------------------------,..._._.__.-------•--------------....-------------...----- --------•-------------------••-•--••----•----•--_.__.---•--•-•-•----•-•••----------•-------••-••-••--•---••---••-----•------•-•-•-••------•------•••--•--••-== -•---------•-•••-----•---•••....-•------•- U Nature of Repairs or Alterati ns—Answer when applicable................................................................... Wd3.t / - -� ---- ------•-�------•�-�{� - •---•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL 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 en i sued by the ar f health. S' ned .._...•=-=. •-•- - -=- ................................ r� �•�p ate - Application Approved By..... ( � ••••-• ...1.......A _ ---- Application Disapproved for the following reasons_______________________________________________________________________________ ----•.-_.._ Date-`__........_ ----------------------------------------------------------•----------•-•------•--------------•-----....--.••---•-•-.-.••...••----••-•••--•-•-•-•----- - Date PermitNo......................................................... Issued........... •-----------------------•-••----•---•-_... Date No... ...` ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------7;.,W..Al.........OF......... Appliratiun for Uisvviial Works Tonstrnrtion Prratit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at } kt '?—,?..................................... Me r cation-Add res r E Owner Q es Q Installer 4/ Address Type of Building Size U Lot... .. . ............Sq. feet a Dwelling—No.--of Bedrooms..._ ________________________ ___ ...Expansion Attic ( ) Garbage Grinder ( )p �,�, ----- p., Other—Type of Building ..._ -•. No. of persons......... ................ Showers — Cafeteria ( ) Other fixtures ..._._•_._..-•--•-----..•--•---•-- W Design Flow................... ................-------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width................ Total.Length--__--___..-----_-- Total leaching area_.._...___.._..___sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching,area..................sq. ft. z Other Distribution box ( ) Dosing + ll,,,, `-' Percolation Test Results' Performed by - 1_�'1 u-� l 0 -••-••-_. Date_ Test Pit No. 1%. mutes per inch -Depth of Test Pit------:............. Depth to'ground water........................ f=� Test Pit No. 2 K.___Q'iinutes per inch Depth of Test Pit.................... Depth to ground water........................ - .---.---- D e�sc%Iption of Soil -u 4 e.......... W V 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 iRTIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance"has:b en i sued by the �a&..health. Sed_._ 1,2----- .... . -•-•--•......•... -••-••••••. ••----•....._....._ ate Application pproved BY (�G�'1�/ { Date Application Disapproved for the following..reasons-----------------------•-..-----------•--------------..--------------------------•------------------------------ ................................._._..._..._...._...........__........._..___.._.._..__.._.._.__._.........._..._...._...._....__...__.......---......._._.........__..._....__....._._...._._..--_..... Permit No..... ---•--- " Issued................ .........•-•-----•---•--•--ae--•--- Date 4 THE COMMONWEALTH OF MASSACHUSETTS HE OF BOARD AfL.Tti r' e To ................OF.... ..... . ` Trrtif iratr of (damp itt r THIS O RT Y, That.the In i id Sewa isposal - m constructed ( ) or Repaired ( ) �C by ---------------- -------- ------ . ....--- at�0 Z9....�................ 1.. I s lent ,/-------- has been installed in accordance with the provisions of F' S of The State Sanitary Code as des55ib_ed in the application for Disposal Works Construction Permit N _7�.............. dated....,;.'.'-.2-?-`l_!.'_'. __._'....._.__.._._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE. SYSTEM WILL FUNCTION SATISFACTORY. DATE... ��D ..... Inspector--••--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.- f. "..."'..,r��.... 7 ! .................OF.... 1" ..�.....------.........----- del FEE.. ............. ttu or xs �g Permission is hereby granted _ !� ( - •-•....................................•--•-- to Cons ru ) or ep ) a Individual Sewg isjat No.LAT `� VI�,�...... 1- . ,.rP./_.A-,..-- -------------------•---------------•-------•-------------•----•----•--- Street as shown on the application for Disposal Works Construction P a No. �_... ....._ Dated.._.' ......... �_.. f A�E ......-•-•----•....................................... Board alt FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I t ASSESSORS MAP : /�� TEST HOLE LOGS 5 PARCEL: 1) The installation shall comp, with Title V and Town of�419 lloard of f�l�t'► Z`�j �,��IC�I�� SOIL EVALUATOR: 1 lealth Regulations. FLOOD ZONE: A-/07- WITNESS : 2) The installer shall verify the location of utilities, sewer inverts and septic REFERENCE �E0 Ge ���6Z9 DATE: � components prior to installation and setting base elevations. C ��l�� � ,glJ PERCOLAT I O RATE:-�. Z / / , 3) All gravity septic piping to be 4 inch Sch 40 PVC at I/8" per foot. The first 8.-. 7 _ - - E v.�p,� �1� � � � two feet out of the d-box to the leaching shall be level. 80 -- ----�- ----- - _ 4) This plan is not to be utilized for property line determination nor any other TH_ ( TH 2 purpose other than the proposed system installation. i -4 0�11 a� „ �sq�f la � .�D 5) All septic components must meet'fitle V specifications. 6) Parking shall not be constructed over 1110 septic components. �o lea-�lu .L_.oq-My 34 2 7) The property is bounded by property comers and property lines. 61q '`2jV�5..._ 8) The property owner shall review design considerations to approve of total p p y g pp 7v design flow and number of bedrooms to be considered for design. Receipt LOCATION MAP % � � of payment for the plan and installation based on the plan shall be deemed approval of the design flow by the owner. 9) The existing leaching or cesspools shall be pumped and filled with material Z'�7 1 f Z .7 per Title V abandonment procedures. Those within the proposed SAS shall l be removed along with contaminated soil and replaced with clean sand per Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the water line shall be sleeved with 4 inch SCtt 40 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service line. The line is to be sleeved as aforementioned and maintained in place. ' SEPTIC SYSTEM DESIGN 11) if a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. FLOW ESTIMATE 12)The installer is to take caution in excavation around [lie gas line if such exists. 57,� /�i BEDROOMS AT ��� GAL/DAY/BEDROOM -�DGAL/DAY 13)T'ne installer shall verify the location, quantity and elevation of the sewer lines exiting the dwelling'prior to the installation. SEPTIC TANK 14)This plan is representative only that a system can fit on a property meeting ' Title V requirements. � �GAI./DAY x 2 DAYS - GAL US /Ot GALLON SEPTIC TANK tpvqS01L ABaO PT 0 r YSTEM )1 OeD o l . i. �-w' SIDE AREA: 2X ,6-5, ' 06" XZ 4C :>, . _ �Z o� DAVID 13(TTOM AREA: !Z ZS X D r� = 2�� g � MA50t`I R; No.1066 � G�► i \ V SEPT I C SYSTEM SECTION 5o h2-,DD � t0 A(0 �iCl awl to I� I�� n�_ � lit �it�in- t21G �ib�tgl(� 7. 1 9 ,�• ��� �, SEPTIC TANK 9 0 nCbv� o/ `—� SITE AND SEWAGE PLAN LOCAT I ON :it ' (o dl� �► � IYII.L P-,o PREPARED FOR : 4,1 �JKb SCALE: ( '/ O DAV I D B . MASON i6 DATE: 10 ?Alb DBC ENVIRONMENTAL DESIGNS DATE HEALTH AGENT EAST SANDWICH . MA W ( 508 ) 833- 2177 Z