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HomeMy WebLinkAbout0162 SEAPUIT RIVER ROAD - Health 1.62 ,Se' apuit, Aiver_Road 'Osterville ' � a :A DTO 002002 , 0 . f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form—..Not for Voluntary Assessments wM 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 '6/5/14 page. City/Town 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 filling out forms A. General Information on the computer, (yJ` SVv1 use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return key. Name of Inspector B&B Excavation, Inc. rQ Company Name is AV 14 Teaberry Lane Company Address Forestdale MA 02644 Cityrrown State Zip Code (508)477-0653 S113640 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 V 6/5/14 Inspector's gnature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This 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. ` ( I I t5ins•3/13 TitleJOfffiricialct Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 162 Seapuit River Road Property Address Island Realty Trust-Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 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: 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 tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. CityrTown State Zip Code Date of Inspection B. Certification (cont.) ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3Lof 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts w . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityrrown 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 form.] . ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. 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 ❑ ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Citylrown 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 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? ❑ ® 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 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 6 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 1008 gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GM , 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is Osteryille MA 02655 6/5/14 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 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 readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial 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 present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 162 SeaP uit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ 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 ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1994 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4'5"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: > 10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appears to be in working condition No sign of leakage Septic Tank(locate on site plan): Depth below grade: 3'5"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene. ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ® No Dimensions: 1000 gal H2O Sludge depth: 5" 9 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 33" Scum thickness 3" 6" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? scour stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appears to be structurally sound. No sign of leakag. Pumping is recommended 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Citylrown 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: gallons , Design Flow: gallons per day 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 t5ins•M3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11.of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osteryille MA 02655 6/5/14 page. Cityrrown 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 is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box appears to be structurally sound. No sign of solid carryover or leakage Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ 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. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 162 Seapuit River Road Property Address - Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ® leaching galleries number: (5) H2O 4x4 galleys ❑ 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.): At time of inspection leaching was dry and appears to be in working order. No signs of hydraulic failure or stain lines. 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 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts 4 . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 162 Seapuit River Road Property Address. Island Realty Trust-Richard Callahan Trustee Owner Owner's Name information is required for every Osteryille MA 02655 6/5/14 page. CityrTown State Zip Code Datd 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 tt-onT Gym A3 -34 3 A = 52' T32 - 27 ' t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 IL Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: > 12'feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 11/28/94Date ❑ Observed site(abutting property/observation 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 162 Seapuit River Road Property Address Island Realty Trust- Richard Callahan Trustee Owner Owner's Name information is required for every Osterville MA 02655 6/5/14 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 t5ins•3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION ���- �Sf,�v��- SEWAGE # VILLAGE ASSESSOR'S MAP- LOTdVJ-d0��4--,l INSTALLER'S NAME & PHONE NO. `tea "LQV7 QAJ� y SEPTIC TANK CAPACITY LEACHING FACILITY:(type) = -C /S CJ (size) r� NO. OF BEDROOMS PRIVATE WELL O UBL1C WATER BUILDER OR WNER 1,40 CaO DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ,4 VARIANCE GRANTED: Yes No J I 1 �� _. � , �- J t -fi. h \ ` , ',.0 .. �'• +f +� r:f. 070 OOZ.OOZ r No.... ..:. FRa.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphratiou for Bivaipwml Wor1w Towitrurtinn Permit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: /L aaton- ddress 1...................................., ......................_A.v..._-_-- A - �£co r Lot ............�I---------------�------- W Address GUier �n del/ t-LS e of Building Installer Size Address Type UYP g / -------------------Sq. feet Dwelling—No: of Bedrooms._____ Expansion Attic ( )Showers Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons___-__.__-___-. --. ( ) ( ) a' Other fixtures _______________________________ _ _ W Design Flow.................vr ..........__.___gallons per person per day. Total daily flow--------------------------------------------gallons. 1:4 Septic Tank—Liquid capacity............gallons Length________________ Width---------------- Diameter._._.._.--__--_- Depth................ w Disposal Trench—No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. x Seepage Pit No..................... Diameter-------------------- Depth below inlet-------------------- Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------- ---------•----------•.....•-----....-----•--•----•-----•-•--..._.. Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth 6 ground water........................ (x Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ GY ....................•--------•--•...........----•--•---•--•-•-•--...-••••-•••••--•--_.___....----•..........._..........................._......---•-----••- 0 Description of Soil.................................•-•---••--------------.............----•---------------------------•--•-------•----------------------------. .....--•------•-----• x U ....-••••-------•--•----•••---•-•-•._.....--•-•-•-•--•--••-----•-•-••-•---•-...--•---•-•••••••...--•----•--•----•----------••---••--•---•-----••--••-----•••-----•.....................•-•-•---•---••--. w U Nature of ReQairs or Alterati Answer when app cable__/Ns`�A'«___ -:_ ® ____:__--��---- yam _ � Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance,with The provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been issue b e board of health. Signed .. ...... :. -,l._....... .. .................... Date Application Approved By .............. t ..................._...... ...._......... ...�..� 1 . V Date Application Disapproved for the following reasons: ..... . ....................... . .. -- ............................ .......... -- _............................................._. ......................... ..._.......... .........._................ .. . -----------................ .....:...... n Date Permit No. ------.7...J�... 3 -------------------- Issued ......................... ...........-- ................... Dare 0'70 00Z. ooz No._.._..... - -•- Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirttiion for Bitipwial Works Tomitruriinn Prrutii Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: Location-Address or Lot N' ------....-•-- .....•.............•-- -•-•••--------••- ..........----•--- ................................ �-//�----......................................................... er W 6(1Z-4 0 irj,, / O(�f'-J S 1 / 4L �/¢/-« / /�,,D Addres^ F .........................••............-•---•............................... %c Installer IAddress UType of Building Size Lot...........................Sq. feet Dwelling—No. of Bedrooms................ ........ ...............Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------------------------------------------------------'---------------------------------------------•--.------------ W Design Flow..................-J`---.� -_____..-_-...__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 tank ( ) Percolation Test: Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------------------------------------------------------------......................................................... 0 Description of Soil........................................................................................................................................................................ x U ---------•------•-------•----------------------•---••----------•---•---•----------------------•-----------------------------------------•------------------------------------------•..................-- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------•......... .. U Nature of Repairs or Alteration Answer when applicable. tNS_I Vic'..__A:__. :aua. n-.._.__-- .. _<?T°.. 4.. -��......--......0� r .F!i e 5....... `fl.........- T--------`5-��.-'vim-----------•------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance.-has been issued by the board of health. Signed --------// ----.r U�- -- --- ...-f.!/� . Dace Application A roved B , .-v ........ ................................... ......................... /.._j.:- -/�! PP PF Y Dare Application Disapproved for the following reasons: ........... ......... ............................................................ ...... . .....---....--.. -- .............. . .................................................................................. ............................... ..... ......... ... ............ ........................................ ' Dace PermitNo. .......... .. . ..................... Issued ---------------------------------------------------------- Due —.—.—._.--.._.—._.---_.—_.--.------------.--- --.--------------.------------- ------I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 01er#ifi ate of (ItIontylizxnve THIS IS TO CERTIFY, That_t. e;Individual Sewage Disposal System constructed ( ) or Repaired ( �) by ... - ..........._ .............. //�`... �'�i!- v' '�' /...........:.... ..C`.U .SST-..._-------------------------------- ----------------------------------- 1—al le, ................ c vI ' 1 at ................................................ P --------- G-------- -. -------------------.�.`--- f % has been installed in accordance with the provisions of TITLE 5 o�The State Environmental Code as described in the application for Disposal Works Construction Permit No. --------- :------- dated .--...--------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY ,, t-"•�' " DATE...... '. / �'....... ----.....------------------- Inspect�rr - -----——————————————————— ————--———————————————————————— D70 OOZ.ODZ- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. �.J..3 FEE.,I. ... Miposal Workii dun irttrr##irrn firrutii Permission is hereby granted.................... ......---. ........................................................ to Construct ( ) or Repair an Individual Sewage Disposal System at No.................................... //� S�,42......_....c_(.. --c/L�� .:. <%� ....... C . Street as shown on the application for Disposal Works Construction Permit No.1�...'��_ Dated.......... ...... 4 G ( Board of Health DATE---------------/..-...�-H...-_%.S. l FORM 36508 HOBBS&WARREN.INC..PUBLISHERS • �/ f OWN OF BARNSTABLE LOCATION6 SEWAGE # VILLAGEf6'ILA ASSESSOR'S MAP LOTS 71,- 2 p� o A INSTALLER'S NAME & PHONE NO. �i SEPTIC TANK CAPACITY LEACHING-FACILITY:(type) ad&o (size) 0 NO. OF BEDROOMS�PRIVATEVELL OR PUBLIC WATER r t BUILDER OR OWNER 7iU,�1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No o� M s @ten '1 4 L� WtP Z® No.--- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH6c�2 ®4Z- 9~ . ---.... �!`..�- ------......OF...... Appliration for Dhipmal Works Tomitrurtioxt Prrutit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal System at: U 1.�2 ` .EAds.�.�-�-•.._Z.V..Esue...f -P---. � __ . ....._... ® C�- -T!! -� --•--------- /1 Location-� >f(op� �OQ6ts}y�Qtp�(-��GN C�4 lets t9tT ........ ���yS' c 13. -?S— Owner Address W Installer Address QType of Building Size Lot_4�. ...........Sq. feet U Dwelling—No. of Bedrooms.............. ........•--.-. _Expansion Attic 40 Garbage Grinder '4 Other—Type of Building No. of persons............................ Showers — Cafeteria a Other fixtures .......:.............................................................................................................................................. W Design Flow...........557..........................gallons per person per day. Total daily flow_-__-_"A-4d.........................gallons. WSeptic Tank—Liquid capacityIMD.gallons Length._JG::!�2.. Width._S..-S__ Diameter------ ------ Depth. .. x Disposal Trench—No..................... Width................ Total Length.Z0.......__. Total leaching area.'3.Z�T_-...... ft. Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box (1( ) Dosing tank AO A� a '-' Percolation Test Results Performed by--- .. K.. _ ..t _.�_ �................ Date..?/ .5 ........... _ ,.a Test Pit No. 1-_4•2'-____minutes per inch Depth of Test Pit...VZ........... Depth to ground water..AQT.�N�V*� (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---_.______-___-..--:__. a •••-•••••-••-----••--•-•-•...•-•--•-••••-•••••-•-••-•......-•---•-•••••......•-• •..........................••-•-•......--•-••......••._....... O Description of Soil _'-Z.Laf v?! _. �� a Q-L�-' 2-•..'Z Li-�r�.'U--- -�. .... . ...............•--.. --------------------- x W -------------------------------------------------------- -••••••••••--•••••-•-----•------------•---------------------••-----•••------•-----.........•••••. ------ U Nature of Repairs or Alterations—Answer when applicable_____________________________•-____--•----_----_-_-•__--_-_____-_-__-_-__---__--•-•--•----__-- Agreement: The undersigned agrees to install the aforedescrib d Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmenta Code—Thz ed further agrees not to place the system in operation until a Certificate of Compliance as been)sped of health. Signed ..... ...�lA ..--- ...... --- .................. Dare '`Application Approved BY -.... ...................... ............ ............................................. Dale Application Disapproved for the following reasons: ..................................... ---- ------------------------------------------------------------------------------------------------------ ------ ---- -- --------------------- ------- .:.. .. �..."....: //a ---------------------------------------------- .... ate PermitNo, --------- ---------..................... ssued ------------ dDate ---------- THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH Lw. .b ..... oF....... ., >-c �t�c....................... r Appliration for Diupuaal 10ork.6 TutuUmfinn Prrutit Application is hereby made for a Permit to Construct (Y,,) or Repair ( } an Individual Sewage Disposal System at ......4�r`Z > �..G%'!.�! tJ.C-4' - = ��'r' is.?... _f CsU.44�� C_cr:11 i �... ........... �,J n Location-Address 1 G Di i 0 V1 orp4t*o"a—� t ..`....�. 7. `�t z��lil �C L[ ���1 f �• -1�f ,M! A`�i.:��rS.s�s �.....................33L' :.t 3 Owner Address W Installer Address �� : d Type of Building Size Lot.•-_ ..................Sq. feet Dwelling—No. of Bedrooms.............. .....•------__--________Expansion Attic Garbage Grinder `4 Other—T e of Building No. of persons____-_______•_______________ Showers 1 — Cafeteria Q' Other fixtures ................................. W Design Flow.......... ..........................gallons per person per day. Total daily flow------A`A_U..........................gallons. 9 Septic Tank—Liquid capacityl`�gallons Length..?.C?_.(�.. Width__.�.'..g.._ Diameter__._"-"'":_- Depth5_..Z.-. W Disposal Trench—No..................... Width.... �_............ Total Length_ ......... Total leaching area..Zt�?�......sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (v ) Dositank _ ~' Percolation Test Results Performed by.. ':r" 1. �_ -___ A- I�..�_,:I�_-._. ------------------ Date l r`.��...��•�............ _ aTest Pit No. 1---�. __-----minutes per inch Depth of Test Pit__,7__........... Depth to ground water..]- ........i........ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•••---•-------------------••-•••••••••--••-••--•••--•••---•••-••••--.............----•----•--••••.......................................................... p -'?_ l_o- '. __Stag act( c... 'Z- 02 C+t.-L.,aiv t t�.� �f�l i Description of Soil_.. ------...L-----------------------------------------••---------------------------------------------------------------------------�------.....------•---- x 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ----------------- ---------------......................................................... ---------..--....Da...re........ --...... Application Approved By 4- -------- %- -------------- --- -- ---------�r------------------------------------------- -- ..'— Date Application Disapproved for the following reasons: ...... .. ............................................................. ............. ...... ---------------------------------------------- ------- -------- ---------------------------------------------- -------- - ----- ------------------------------------------------------------- --------- ------------------------- Date Permit No. .... .-1 - ......................... Issued -------i� ✓------- Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH �V..i rt 1... OF ... --------------- .`a ......,C_,CC::..... C�e>r#ifi ratr of C110myltttnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by .................�----+--`------...------ ........................ .....�............................... . . ... ...................................................... ... ... ....... ----------------- Installer' r�� ,3at ..... . ^ � -- -- C � ..................................-------- has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ..��.. .... ..... . ...-- --.-.. dated .. .. - --. ....-... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C®NSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............. ..' .F .---------- Inspector ... ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C4�1,)��................ FEE....................f�' No.. .'. G/ Disposal nrkii T.Fnnurt inn rrutit Permission is hereby granted............................................................................••-•.............................................................. to Construct ( X) or Repair ( ) an Individual Sewage Disposal System C't�✓ 1 \ i' '....................................._ ( )Y t -,x-ail .. .at No...1{ `= ..................................................l..; t. :_ ..ter .. �i . -...-------•--...-- Street as shown on the application for Disposal Works Construction Permit N�"� Dated....------------- ."`�. C... Board of Health DATE. FORM 1255 HOBBS & WARREN. INC.. 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N .-2973 o a C f 874 ISTSr- AL m �� +L y a � r ai. 2- PQEcR�->T 4-'x 4'bALLe--f 4:HAMr'�L''�-5 H•Tcx wITN V (CmO) AHDV (St Dr—) '>/4" i 1'.':. TO Ch. WASNE0 S- I< AacxAI,D :3VSTLM , r� I I 'f TF:Q 3.5 FG �• 22'g � { r r ! Tv.:;FT tip xt4 kk • t0.5 go.4q 4hL INY IHV INv - • SCPTt EL= ! .. TANK bmr l __ _ ' .. I C. H Z a t3ox GiE'i�u hftb 11/ A Q L. ELJ F�GDT YL A t--1 �br 'Tb'� t�"L.1~ LL=9 9 �TQ�•1' G'N�.>"T�.� ��iC�FSt�Y+J,ILL� I ��R7lP-f Tttf�T- I F� PQc�Pt��If<� fJY�/ LJ�1N6 ^T-2 %: a4. 13 94 HclwL t rf 1=Q�c-�N can.PL t E5 w 1'rl4:'Ri E LA11. ♦ -» LINE F4b :zvF -rowH aF t'�A P[JS� L Pcr-+o 1 s F r�r• Lc�s� L ltu cdou Zr Pt.�kro. fI 513 54 D '• c�3•OIL•9 4 \_�f Q - -gAu T �- � fE 11.►G._. P .rcat.�IL tAi4 b 5u& Ttf-I-5 PLR'-" 15 I.raT ^ ED car 1 Ar,! G1vl L; I E'W6t 1NG 8�'S Tc� �-r fl f�A�S r-1 P¢o o�2"t`T 1,11-�C•S . � 1��C.F1xi�p 1�`C A t..t,..A H Aril.Tits. APDL.wr -Veus-r /" wf 71 ) ?1:jN7.}Aii'VS- li';)vl ts:r CIT*yA Yi��.. 4•. L 7 �3 140.5l0� I LET I 1 —1 of ZF 9874 It ( WLI, 19 Lp � + d m u u N OF - � 9 PETER $ SULLIVAN � . No. 8733 � c 15 I—= 198•�6�� P , 4o` Fcx�rvOnilo►.i L6Y.AT1c}rf �A1'� 03 'Ls1 •�14 03• 0 2,`l�(- � Q.i=� n 4 - 14• T �ti. :�PT1L�;.,�r��x.1 6.oG.st 1'�c>til .F7�,tn i Ns-rflu..>~� T1£S "A 84--1-7 AsBuilt Page 1 of 1 t/ 'OWN OF BARNSTABLE �i7`t,�' ✓�`,J LOCATION , SEWAGE # / Y' co-7-f h /l�► am,s .VILLAGE ASSESSOR'S MAP LOTS 7Dr~0 a� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY letv , LEACHING•FACILITY:(type) a yyqw&,� (size) 2 Caunrla,o NO. OF BEDROOMS PRIVATE WSLL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No a ry Q http://issgl2/intranet/p-ropddta/prebuilt.aspx?mappar=070002002&seq=1 8/29/2014 i AsBuilt Page 1 of 1 t� 16� OWN OF BARNSTABLE LOCATION , SEWAGE # 7 �C ! �� / © �he,s VILLAGE /�'J�LA ASSESSOR'S MAP 41 LOTC,70 -Ciao INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY leb7V r\ ! LEACHING-FACILITY:(type) (size) a NO. OF BEDROOMS_�PRIVATE VELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: r- DATE COMPLIANCE ISSUED: Lf" �3" g50" VARIANCE GRANTED: Yes No ` q M� ry http://issgl2/intranet/propdata/prebuilt.aspx?mappar=070002002&seq=1 6/6/2014 I CUR_ 9 E RAD.0 S LENGTH DELTA cl 2 I 1 05.00, 11.2 8 00202 , LQT 6 N 2 7 to a J _ N 1 E ,5 ' 5 INK FEN _ RAIN L E .,,•'ems .. r - ......, _1 7 7 2 0 OAKS AND PINES a s---^� c • 22.7 DESIGN DATA.ot I LOT 6 BEDROOMS 1 a TOTAL E , n' ._-�- GARBAGE GRINDER 5 S E , NO GAR A 7 � o , 1 0 8 6.2.5' 1 N o 660 GPD AVEV DAILY FLOW. 6 x 110 GPD AEDAI ` J o 11 x11 BUILDING 0 5 8 5 6 .� 3 2 14 22.7 cn - 2 . 990 GPF G x 150% i o S EPTIC TANK 660 PD 0 23.4 USE 2000 GALL N TANK 01 E N 8 1 .06 � r 24.2 23.7 1. n m 8 L '9 A 9 T 13 4 9 E w X K _ S r B A 0 DES IGN IGN CAPACITY. .. 2 4 0UT z z C r*► - S H-20 CHAMBERS AS ALLEY H R,x c� USE 5 PREC T G O p cn 4-FEET STONE 0N SIDES 22.7 z 4 T O z OIL PIPE - 2 FEET STONE ON ENDS 23.6 v G .0 1 O o Z LOT 1 6 p 2 .8 - 0 .._.�_ rn _ 288 SF Lu � BO TTOM AR EA: 2 4 x 12 O Q G V _o .3 +'� 22 1 _ 88 GPD w - .0 2 2.8 I 2 88 ® 1 2 CAPACITY:TY AP 3.5 r- - Q 2 c� o 0 46 f Y W o � - J Z N 887 SF z E 1� z 1 _ w 1 SID WALL AREA : 2 24 + 1 2 - 72 LF N 1•- cr 8 F 1 08 ACR ES t _ 8. : ' 72LFx4 28 S to 3.$ 1 720' GPD L 288 ® 2 5 o CAP ACITY.,TY 2 .4 21.9 P 4 3 3 0. 5, 2 .6 , 3 N 21. 9 - T 88 GPO o TOM CAPACITY: 2 A N AREA BOTTOM S A SIDEA .CI 2 GPD W LL CAPACITY: 70 : r P... P • I O C L I M 8 I N G B A R C V r... 200 0 GAL p , . PACITY. 100 8 GPD H 20 S. T. N ao TOTAL CA I � N 21. o N NN w 24.4 _. DB of 3.8 I N 2 . �. • w _Q I I 2 . , 1'7 4 22.8 . f*t ,I tC) A t 8x10 BUIDLING 2 Q ,c § r 1 - AST .• - � �:PR C r 1 5 H 20 E C 0? 24 .1GALLEY � I N CHAMBERS 1 CRAM 1 W 4 x 4 r ti. 23. s c7� , 0 SIDES 2 4 STONE N co A 0 N I 0 E ; PH N ENDS o ONE ON ST 24 2 I 1 BOOTH s , ,. W 9 w . GRASSED AR EA WATER FOUNTAIN 4.0 2rn �7 � , , . • Q CLI MBING BARS .6 4 w e U ANIMA L RIDE 24.0 ROOFED =, ,.. z ; 0 21.9 24.0 .7 DECK- N 00 t 0 ,� cr 2 w , rn 22.6 N 1 _ 2 .5 • H W cn T 24 CLI I G BARS 4.0 24.7 L A a - o y ANIMAL RIDES 24.2LA LADY BUG RIDE 43,560 SF + TREELINE 2 .6 24.4 10. 0 ACRES + V 24.6 I 4. 21.8 1 V PLATFORM �I MBIN G BARS 24.6 1.8� 2 24.7 22 2 4 2 .7 24.4 I .8 6 22. ti 1 6 1, 24 2 o: ,6 BA - SNAIL 24 C I BIN R 24.Q L r 23.8 PLANE RIDES ® � 22,4 LS 22.0 SPRINKLER CONTROLS . J R • 24.7 , 24.7 3.1 23.1 -22.9 6 --- g 2 20 24. 2 . 23 - o JUNG LE o 24.9 .8 23.2 SPHE RE ---o -P 2 n. 4 8 ----2 . a .4 ,;.3.5 22 �4. w 2 W _ 1 6 0 9 W FOUNTAIN 2 .8 S8 WATER F UNT N - E , SEESA W T .. . I A , . � ANE 1 4ELCP L BOX 24.7 x E 4.7 ._ --- STONE o 0 0 Cl PARK ING o ELEC METER Q . GA TE TE 24.6 , 5 0 0 24.6 R_1 _9 0 POLE 6 , L _198. 6 CB DH FND. S T E PLAU CB/DH FND. _ E A PU I T R 1 V E R R0 `AD IN I #162 & #172RIVER SEAPU T I R RO AD EDG E OF RAV WENT � I OYSTER HARBORS, BA NSTASLE MASS _ FOR f KO CH CN W1 M �A . I 3 1-1&-95 FOU 17ON S SY STEM JRE 2 1 . 10 95 RECONFIGURE RE DRIVEWAY, J JR ECRAPHIC SCALE w.' 20 N JRE SCALE: BVEMBE 20 0 10; 20 40 80 1 12 22 94 HSE DIMS DRIVE CONFIGURATION CJ G NO . -DATE DESCRIPTIO N BY OF NOTE RE VISIONS AT LEFTpmlt .. r� 1 n IN FEET .� f >r 1 inch 20 ft. SULLIV A r. � m NO. 297 3 NYE,BARTER & INC. : 3 RE GISTERED LANDSURVEYORS �r � & C Z IVIL ENGINEERS .S' 1� Q41 AL tr OSTERVILLE, MASS. .. ry�n d t WG 8477 PL02.D -------------