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HomeMy WebLinkAbout0160 CEDAR TREE NECK ROAD - Health 160_Cedar Tree Neck Road Marstons Mills A = .076 029 1-) y� UPC 12934 No. 2-153LY . ---�---�— Co coc+�'� HAgTINr94 MN *S7 a s r r 1 �z 'F ?rtv T lF�ARNST�,BLcLL 4CA.`�'I ON, �e``�EWAGI #F- LAGS �J s ll I S A.SSFASOR'S 1vfA P 3'i INSTALLER' NAA!!lE Ion. NO SIE TIC'X'AN' LAP.�CI"CY S� a �. Aci rto ?ACIL rx. t �) om 9 ..1 tZ Okt aWl tR 'PS ITD Separation I9JS tRnGa letweeri tea M11v �;'dVat a%id t,e'�ct�g iltty eel ux m mofLchingP 14, y Ac cr,;Supply Ve&1 . Cony�»t9s axist agsit�s ac wlthit► Qtf feet of lenetu9ig Faclity) eei lct�ri;;iy��(eF�and aril Leacisrg i�acilfty(IF any wetlands exist >'�...�4 tyithis�3QU fect f Icaal�irig I'acilaty) Our nlSM ��e way o q �. A,d - a�° A'3 - -74 -3 .1g7, r From the Office of: STANDARD FORM PURCHASE AND SALE AGREEMENT Hinckley, Allen & Snyder LLP 28 State Street Bostou,MA 02109 This day of February " Gloria .M. Gutierrez, Arthur J: Gutierrez, Jr. Ana G. Carroll f k a Ana 1. PARTIES ( / /. M. Gutierrez) and Vivian G. Sergi, Trustees of The..Gutierrez Ca WP9_23 . and AND MAILING Trust, .u/d:/t .dated August 1, 1985 and recorded with the Bafn'ta CountyyADDRESSES hereinafter called the SELLER,agrees to SELL and Registry of Deeds in Boo 4 7 (fill in) Benjamin 0. Delaney, .III :Kara J. Delaney, hereinafter called the BUYER or PURCHASER, agrees-to BUY, upon the terms hereinafter set forth,the following described premises: That certain parcel of land,cansiscing of 2. DESCRIPTION approximately 1.8`9 acres l"asated_.3�u.Mar gtuns^Mills, Barnstable.-County, (fill in and include Massachusetts at 160 Cedar Tree Neck Road, being Lot 5 described. in a title reference) certain deed to Seller recorded with said Deeds in Book 4668, Page 244. . 3. -BUILDINGS, STRUCTURES, EMMA IMPROVEMENTS, FIXTURES (fill in or delete) 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the.BUYER,or to (fill in) the nominee designated by the BUYER by written notice to the SELLER at least seven (7) days Include here by specific before the deed is to be delivered as herein provided, and said deed shall convey a good and clear reference any restric- record and marketable title thereto,free from encumbrances,except tions, easements,rights (a) Provisions of existing building and Zoning laws; and obligations in party (b) Existing rights and obligations in parry walls which are not the subject of written agreement; walls not included in(b), (c) Such taxes for the then current year as are not due and payable on the date of the delivery of leases,municipal and such deed; other liens,other encum- (d) Any liens for municipal betterments assessed after the date of this agreement; brances,and make pro- (e) Easements, restrictions and reservations of.record, if any, so long as the same do not prohibit vision to protect or materially interfere with thex=msrd use of said premises; for residential purposes. SELLER against BUYER's '(f) breach of SELLER's covenants in leases, where necessary. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. 6. REGISTERED In addition to the foregoing, 4 the title to said premises is registered,said deed shall be in form sufficient TITLE to entitle the BUYER to a Certificate of Title of said premises, and the SELLER shall deliver with said deed all instruments,if any,necessary to enable the BUYER to obtain such Certificate of Title. 7. PURCHASE PRICE The agreed purchase price for said premises is Three Hundred Eighty Two Thousand (fill in);space is Five Hundred ($382,500.00)--- -----dollars,of which t- allowed to write out the amounts $ 36,250.00 have been paid as a deposit this day and if desired $ 2,000.00 have been paid to bind the offer and . $ 344,250.00 are to be paid at the time of delivery of the deed in cash, or by certified, cashier's,treasurer's or bank check(s). $ 382,500.00 TOTAL COPYRIGHT® 1979,1984,.1986,1987,1988,1991 ^ All rights reserved. This form may not be copied or reproduced in GREATER BOSTON REAL ESTATE BOARD whole or in part in any manner whatsoever without the prior express written consent of the Greater Boston Real Estate Board. i M.on the 30th day of at 2:00 .m. o'clockY is to be delivered 8. TIME FOR Such deedp PERFORMANCE; June, 2002 at the Barnstable ' County DELIVERY OF DEED(fill in) Registry of Deeds unless otherwise agreed upon in writing. It is agreed that time is of the essence of this agreement. *or at Buyer's election exercisable by at least five(5);:days prior_! written notice to Seller, at the offices of Buyer's Lender's counsel., ..if::;.,: 9. POSSESSION AND Full possession of said premises free of all tenants and occupants, ,is to be: any: CONDITION OF delivered at the time of.the delivery of the deed, said premises to be then (a) in the same condition as PREMISE. they now are, reasonable use and wear thereof excepted, and (b) not in violation of said building and (attach a list of zoning laws, and (c) in compliance with, provisions of any instrument referred to in clause 4 hereof. The exceptions,if any) BUYER shall be entitled personally.to inspect said premises prior to the delivery of the deed in order to determine whether the condition thereof complies with the terms of this.clause. 10. EXTENSION TO. If the .SELLER shall be unable to give title or to make conveyance, or to deliver possession'of the pre- PERFECT TITLE mises; all as herein stipulated, or if at the time of the delivery of the deed the premises do not.conform OR MAKE with the provisions hereof, then t hp PREMISES CONFORM .the SELLER shalk:.use reasonable efforts to remove any.defects in title,or.to (Change period of deliver possession as.provided herein,or to make the said premises conform to the provisions.hereof, as time if desired). the case may be, in which event the SELLER shaft give written.notice thereof to the BUYER at or before _ the.time for performance hereunder, and thereupon the time for performance hereof shall be extended for a period of'shirty—(30.) — days. For purposes hereof, the term "reasonable efforts shall not require to expend more than $5,000, exclusive of 11. FAILURE TO Af at the expiration of the extended time.the SELLER shall have failed so to remove any defects in title, PERFECT TITLE deliver possession, or make the premises conform, as the case may be, all as herein agreed, or if at any OR MAKE time during the period of this agreement or any extension thereof, the holder of a mortgage on said pre- PREMISES mises shall refuse to permit the insurance proceeds, if any,.to.be used for such purposes,.then any pay-. CONFORM,etc. ments made under this agreement shall be forthwith refunded and *all other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. 12. BUYER's The BUYER shall have the election, at either the original or any extended time for performance,to accept ELECTION TO such title as the SELLER can deliver to the said premises in their then condition and to pay therefore the ACCEPT TITLE purchase price without deduction, in which case the SELLER shall convey such title, except that in the event of such conveyance in accord with the provisions of this clause, if the said premises shall have been damaged by fire or casualty insured against, then the SELLER shall, unless the SELLER has -previously restored the premises to their former condition,either (a) pay over or assign to the BUYER, on delivery of the deed, all amounts recovered or recoverable on account of such insurance, less any amounts reasonably expended by the SELLER for any partial restoration,or (b) if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof to be used to restore the said premises to their former condition or to be so paid over or . assigned, give to the BUYER a credit'against the purchase price, on delivery of the deed, equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER for any partial restoration. 13. ACCEPTANCE The acceptance of a deed by the BUYER or his nominee as.the case may be, shall be deemed to be a OF DEED full performance and discharge of every agreement and obligation herein contained or expressed, except such as are,by the terms hereof,to be performed after the delivery of t did deed.. 14. USE OF To enable the SELLER to make conveyance as herein provided,the SELLER may, at the time of delivery MONEY TO of the deed, use the purchase money or any portion thereof to clear the title of any or all encumbrances or CLEAR TITLE interests, provided that all instruments so procured are.recorded simultaneously with the delivery of said deed. 15. INSURANCE Until the delivery of the deed,the SELLER shall maintain insurance on said premises as follows: "Insert amount Type of Insurance Amount of Coverage (list additional types of insurance (a) Fire.and Extended Coverage ,_ti�` ., '$ .'.4,pr prgsently..;,in_sured and amounts as (b) agreed) ............`� ~.. L ... . .a.<...'. . - _. .. ..... . 16. ADJUSTMENTS wafer and sewer use charges,v�, r Z A-' (list operating ex- and taxes for the then current fiscal year, shall be ap- penses,if any,or portioned and fuel value shall.be adjusted,.as of the day of performance of this agreement and the net attach schedule) amount!hereof shal(be added to.or d�ediicted from, as the case may be, the purchase price payable by the BUYER-at the time of delivery oflhe dee`d'. ** monetary liens. 17. ADJUSTMENT If the amount of said taxes is not known at the time of the delivery of the deed, they shall be apportioned OF UNASSESSED on the basis of the taxes assessed for the preceding fiscal year, with a reapportionment as soon as the AND new tax rate and valuation can be ascertained; and, if the taxes which are to be apportioned shall there- ABATED TAXES after be reduced by abatement, the amount of such abatement, less the reasonable cost of obtaining the same, shall be apportioned between the parties, provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed. 18. BROKER's FEE —A Brokers-fee-for-professional-services-office M-Ypercent�:of:`the:Purchase .Price (fill in fee with. is due from the SELLER to Douglas L. Williams and to Robert Kesten, to be dollar amount or divided evenly between the two. percentage;also name of Brokerage firm(s)) -ttie Btdk'ei(§) fierel�; ;'anaiR rr�monr�f0 vviilQvavav mvwr fi o 6 �d {. 166 u4. d -- 7 q ous.an,ovaw p,q�naunnoru- 512 RR , but oR]qq i ;:_a. gand,whgn,;the Deed is delivered to Buyer and recorded and the fu-L--purchase price is paid to 19. BROKER(S) The Broker(s) named herein Seller and not otherwise. WARRANTY warrant(s)that the Broker(s)lqare)duly licensed as such by the Commonwealth of Massachusetts. (fill in name) 20. DEPOSIT All deposits made hereunder shall be held in escrow by Hinckley, Allen & Snyder LLP (fill in name) as escrow agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties, the escrow agent shailiiF retain all deposits made under this agreement pendingg instructions mutually given by the SELLER and the BUYEF:6 or by order of the Court. The deposit shall be held in a separate interest bearing accbunt.-and all interest earned.thereon shall 21. BUYER's If the BUYER shall fail to fulfill the BUYER's agreements herein, all deposits made hereunder by the DEFAULT; BUYER shall be retained by the SELLER as liquidated damages DAMAGES rand this shall be Seller's sole and exclusive remedy at law for any default by Buyer hereunder. 22. RELEASE BY The SELLER s spouse hereby agrees to join in said deed and to release and convey all statutory and HUSBAND OF- other rights and interests in said premises. WIFE 23. BROKER AS The Broker(s) named herein join(s) in this agreement and become(s) a party hereto, insofer as any provi- PARTY sions of this agreement expressly apply to the Broker(s), and to any amendments or modifications of such provisions to which the Broker(s)agree(s)in writing. 24. LIABILITY OF If the SELLER or BUYER executes this agreement in a representative or fiduciary capacity, only the TRUSTEE, principal or the estate represented shall be bound, and neither the SELLER or BUYER so executing, nor SHAREHOLDER, any shareholder or beneficiary of any trust,shall be personally liable for any obligation, express or implied, BENEFICIARY,etc. hereunder. 25. WARRANTIES AND The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction nor has REPRESENTATIONS he relied upon any warranties or representations not set forth or incorporated in this agreement or pre- (fill in);if none, viously made in writing, state "none';if any listed,indicate by whom each war- NONE ranty or represen- tation was made 26. MORTGAGE CONTINGENCY CLAUSEXJA (omit if not provided for in Offer to Purchase) *follow the deposit (i.e. the same shall be paid together with the principal amount of the deposit when ultimate disposition of the deposit is made pursuant to the terms of this Agreement.) I 27. CONSTRUCTION This instrument, executed in multiple counterparts, is to be construed as a Massachusetts contract, is to. OF AGREEMENT take effect as a sealed instrument, sets forth the entire contract between the parties, is binding upon and enures to the benefit of the parties hereto and their respective heirs, devisees, executors, administrators, successors and assigns, and may be cancelled, modified or amended only by a written instrument executed by both the SELLER and the BUYER. If two or more persons are named herein as BUYER their obligations hereunder shall be joint and several. The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement or to be used in determining the intent of the parties to it. 28. ; LEAF}PAINT= LAw:: 29. SMOKE DETECTORS. . lux 30. :.,ADDITIONAL_._ The.dnitialed riderssif any,attachect hereto,are-Incorporated herein by reference. PROVISIONS See Rider "A' attached hereto and made a part hereof. FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978,BUYER MUST ALSO HAVE SIGNED LEAD PAINT"PROPERTY TRANSFER NOTIFICATION CERTIFICATION."4 NOTICE:This is a legal document that creates binding obligations.If not understood,consult an attorney. THE GUTIERREZ CAPE LAND TRUST SELLER $y G' l�oria M. Gutierrez SELLER By:. Arturo J. Gutierrez, Jr. Its: Truste , ut not individually Its: Trustee, but not individually ®vZ oZ ! .O BUYER BENJ - 0. ELANEY, III BUYER KARA J. DELAW DOUGLAS L. WILLIAMS BROKER ROBERT KESTEN EXTENSION OF TIME FOR PERFORMANCE Date The time for the performance of the foregoing agreement is extended until o'clock__M.on the day of 19 time still being of the essence of this agreement as extended. In all other respects,this agreement is hereby ratified and confirmed. This extension,executed in multiple counterparts, is intended to take effect as a sealed instrument. SELLER(or spouse) SELLER BUYER BUYER Broker(s) 74 CONSTRUCTION This instrument, executed in multiple counterparts, is to be construed as a Massachusetts contract, is to_ ' OF AGREEMENT take effect as a sealed instrument, sets forth the entire contract between the parties, is binding upon and enures to the benefit of the parties hereto and their respective heirs, devisees, executors, administrators, successors and assigns, and may be cancelled, modified or amended only by a written instrument executed by both the SELLER and the BUYER. If two or more persons are named herein as BUYER their obligations hereunder shall be joint and several. The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement or to be used in determining the intent of the parties to it. LAW ). SMOKE 44 DETECTORS. . ). _,ADDITJ0NAI.,__ -.The.daitialed'ridersAif any,.attached°hereto,areticorpocated herein by--refererace. PROVISIONS See Rider "A" attached hereto and made a part hereof. FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978,BUYER MUST ALSO HAVE SIGNED LEAD PAINT"PROPERTY TRANSFER NOTIFICATION CERTIFICATIOU'4 OTICE:This is a legal document that creates binding obligations.If not understood,consult an attorn THE GUTIERREZ CAPE LAND TRUST SELLER , X; rfa M. Gutierrez SELLER By: uro J. Gutierrez, Jr. Its: Trustee, but not individually Its: Trustee, but not individually BUYER BENJAMIN 0. DELANEY, III _"BUYER KARA J. DELANE'Y DOUGLAS L. WILLIAMS . BROKER ROBERT KESTEN . EXTENSION OF TIME FOR PERFORMANCE Date The time for the performance of the foregoing agreement is extended until o'clock__M.on the day of 19_,time still being of the essence of this agreement as extended. In all other respects,this agreement is hereby ratified and confirmed. This extension,executed in multiple counterparts„is intended to take effect as a sealed instrument. SELLER(or spouse) SELLER BUYER BUYER Broker(s) 17. ADJUSTMENT If the amount of said taxes is not known at the time of the deliveryof the deed, they shall be ap portioned OF UNASSESSED on the basis of the taxes assessed for the preceding fiscal with a reapportionment as soon as the P 9 YearPP AND new tax rate and valuation can be ascertained; and, if the taxes which are to be apportioned shall there- ABATED TAXES after be reduced by abatement, the amount of such abatement, less the reasonable cost of obtaining the same, shall be apportioned between the parties, provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed. 18. BROKER's FEE A-Bmkers-fee-for-professional-services-off rve(SX)gXercent_.vf :the:_Purchase_Price (fill in fee with is due from the SELLER to Douglas L. Williams and to Rol&ert Kesten; to be dollar amount or divided evenly between the two. percentage;also. name of Brokerage firm(s)) 'tffe-B'dkeff§T,herb but. o - a and.wh -t e..� h Deed i delivered to Buyer and recorded and yy - y . the•�.fuYl_:.,?urchase price is paid to 19. BROKER(S) The Broker(s)named herein Seller and not otherwise. WARRANTY warrant(s)that the Broker(s)Wre)duly licensed as such by the Commonwealth of Massachusetts. (fill in name) 20. DEPOSIT All deposits made hereunder shall be held in escrow by Hinckley, Allen & Snyder LLP (fill in name) as escrow agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties, the escrow agent sbal retain all deposits made under this.agreement pending instructions 1� p g p. gg mutual) given by the SELLER and the BUYER, or by order of the Court. The deposit shall be held in a separate interest bearing account-.:and all interest earned thereon shall 21. BUYER's If the BUYER shall fail to fulfill the BUYER's agreements herein, all deposits made hereunder by the DEFAULT; BUYER shall be retained by the SELLER as liquidated damages DAMAGES t .and this shall be Seller's sole and exclusive remedy at law for any default by Buyer hereunder. 22. RELEASE BY The SELLER s spouse hereby agrees to join in said deed and to release and convey all statutory and HUSBAND OR other rights and interests in said premises. WIFE 23. BROKER AS The Broker(s) named herein join(s) in this agreement and become(s) a party hereto, insofar as any provi- PARTY sions of this agreement expressly apply to the Broker(s), and to any amendments or modifications of such provisions to which the Broker(s)agree(s)in writing. 24. LIABILITY OF If the SELLER or BUYER executes this agreement in a representative or fiduciary capacity, only the TRUSTEE, principal or the estate represented shall be bound, and neither the SELLER or BUYER so executing, nor SHAREHOLDER, any shareholder or beneficiary of any trust,shall be personally liable for any obligation,express or implied, BENEFICIARY,etc. hereunder. 25. WARRANTIES AND The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction nor has REPRESENTATIONS he relied upon any warranties or representations not set forth or incorporated in this agreement or pre- (fill in);if none, viously made in writing,. state '.'none",if emu any listed,indicate NONE by whom each war- ranty or represen- tation was.made 26. MORTGAGE CONTINGENCY CLAUSE (omit if not provided for in Offer to Purchase) *follow the deposit (i.e. the same shall be paid together with the principal amount of the deposit when ultimate disposition of the deposit is made pursuant to the terms of this Agreement.) t} RIDER "A" TO PURCHASE AND SALE AGREEMENT BETWEEN THE GUTIERREZ CAPE LAND TRUST,AS SELLER, AND BENJAMIN O. DELANEY III and KARA J. DELANEY, AS BUYERS Title Insurance Contingencies 1. (a) Buyers'performance hereunder is conditioned upon title to the premises being insurable on a standard ALTA form B insurance policy by a company(ies) licensed to do business in the Commonwealth of Massachusetts without exception for any matters not expressly permitted hereunder. (b) It is understood and agreed by the parties that the premises shall not be in conformity with title provisions of this Agreement unless: (1) all buildings, structures and improvements, including but not limited to, any driveways, garages and cesspools, and all means of access to the premises, shall be located completely within the boundary lines of said premises and shall not encroach upon or under the property of any other ,person or entities; (ii) no building, structure or improvement of any kind belonging to any other person or entity shall encroach upon or under said premises. Additional Documents to be Delivered at Closing 2. At Closing, Seller shall execute and deliver to Buyers, Buyers' counsel or Buyers' title insurance company, as the case may be, (a) an affidavit with respect to there being no mechanics' or materialmen's liens with regard to the premises sufficient in form and substance to enable the title insurance company to delete its standard ALTA exception for such liens, (b) an affidavit with respect to there being no parties in possession of or entitled to possession of the premises, (c) an affidavit with respect to there being no Municipal Lighting Plant Liens, if applicable, (d) a non-foreign seller affidavit to establish that the Seller is not a non-resident alien, and (e) such other documents as may be reasonably requested by Buyers, Buyers' counsel or Buyers'title insurance company. 3. Buyers'Access. Buyers and Buyers'inspectors, architect, builders, appraisers, prospective mortgagees and agents shall have the right to enter the premises at reasonable times and after reasonable notice to Seller(or its agent)prior to the Closing for the purpose of inspecting the condition of the Initials: J� v li rl premises, taking measurements, obtaining appraisals or showing the premises to prospective mortgages. In the event the Closing does not occur as scheduled for any reason whatsoever, and if Buyers or any of such parties shall have made or caused to be made any physical changes to the premises or shall have damaged the premises, Buyers shall restore the premises to its original condition, unless advised in writing to the contrary by the Seller. The Buyers shall indemnify and hold harmless the Seller, and hereby does indemnify and hold harmless the Seller, from and against any and all claims, costs and expenses (including, without limitation, reasonable attorneys' fees) which the Seller might incur as a result of personal injury (including death) and/or property damages resulting solely from the Buyers or any of such. parties having entered upon the premises as provided hereunder. 4. Notice. Any notice required or permitted to be given hereunder, shall be in writing and sent by hand delivery or by registered or certified mail,postage prepaid,return receipt requested, or by telefax with confirmation of receipt, to the addresses as set forth below: As to Seller: The Gutierrez Cape Land Trust c/o The Gutierrez Company One Wall Street Burlington, MA 01803 Attn: Arturo J. Gutierrez, Jr. Telephone: (781) 272-7000 Fax: (718) 272-3130 with a copy to: Gloria M. Gutierrez, Esq. Hinckley,Allen & Snyder LLP 28 State Street Boston, MA 02109 Telephone: (617) 345-9000 Fax: (617) 345-9020 As to Buyer: Benjamin O. Delaney, III Kara J. Delaney 52 Saddler Lane W. Barnstable, MA 02668 Telephone: (508) 884-3230 Fax: (508) 884-8181 Initials: Yo. �l #379898 -2- with a copy to: Rebecca Richardson, Esq. Wynn & Wynn, PC 310 Barnstable Road Hyannis, MA 02601 Telephone: (508) 775-3665 Fax: (508) 775-1244 In the event the above parties have a telefax machine for sending written documents, notice shall be deemed given pursuant to this clause if sent to the attorney for the other party by telefax and competent, accurate evidence is available as to the date and time the notice was received. Such evidence of proof of timeliness of notice shall include,but not limited to, the date and time printed by the telefax machine on the notice sent or received, if printed at time of sending or receiving. 5. Representations and Warranties. Seller hereby represents and warrants to the Buyers, the same to be true as of the date hereof and as of the date of Closing: (a) that there is no litigation or proceeding pending or, to the best of Seller's knowledge, threatened against the premises; (b) that,to the best of Seller's knowledge,no insulation or other materials containing asbestos, urea-fonnaldehyde or similar chemicals have been used or incorporated into the premises; (c) that Seller has not received any written notice that the premises is in violation of any federal, state or local environmental, sanitary,health or safety statute, ordinance, code, by-law, rule or regulation or any other type of law or governmental regulation, and that Seller has no knowledge of any such violations with respect to the premises; and (d) that the Seller has no knowledge of any underground fuel storage tank located in or under the premises. Seller agrees to notify Buyers of any changes in facts which would make any of the above representations or warranties untrue for the period between the date hereof until the Closing. 6. Brokerage. Seller and Buyers each warrant to the other that no real estate broker, salesman or finder is involved in this transaction other than the brokers set forth in Paragraph 19 of this Agreement. If a claim for a brokerage commission in connection with this transaction is made by an Y§ ther Initials: V�.`y" #379898 -3- Buyers agree to notify Seller in writing on or before March 29, 2002, if the Buyers have determined that the premises is not a"buildable lot" as aforesaid, whereupon the deposit shall be returned to Buyers and this Agreement shall terminate without recourse to the parties hereto. Buyers' right to terminate this Agreement pursuant to terms of this Paragraph shall be deemed waived in the event that such notice of termination is not provided to Seller on or before March 29, 2002. Initials: O.iS! of XI #379898 -5- ••t 'Town of Barnstable P t, eloz 1 el Department of Regulatory Services Public Health Division Date ,P� ps 200 Main Street,Hyannis MA 02601 BAMSTARM 7 MAW Date Scheduled p U Time �V Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By:. `� L Witnessed By: ........ .... .................... .... ..,,... v.....,._...n...._....1..:.u._:_...v,.......v......v :.n...r.,.nv........_..,....... ,. .. .:.. {,:y,! ..' un!'dcf• n!i:,.!!-:!r!:a-;ii:n':L!!!!!!::I:!.-'Ir::l.-,fij:r::!!in:;!: :...............v.....,....:..�.. a...r..._�,v......_............Mv...,....,..........n....n..v.:..r..._rv.v...c.........,n.::a v. ...:. .... ,..:,!ufi,!!F:..—r... .....1 1......r............ �........r..r_.... c.i.._...d;n .., .._ .. r,....................h_.,._v. ::.:i'vic!_I.,. n.....„I. _..4.!. .,.. ..i.,i ......._,.. .... r!:.:......:..........r..i........,.a....::.:,rr.r...,... ..,...r ...........N,. .I. .. ,:::..r,..,. .. !... TT ,{na. ,I.. ';,,•..4;":n.�.':., ,:!:::::.,.:;!,!:;,,.;,...ar,,:,!.,.,.rLl!,::L.Im.,ua:�':Ihun;;al4! � _, .x7•.r :.L r• P� !i.: �^ :0^,*,!� r,,.. .. ;,,,!w rsName Location Address ) (U ce per / r(1e owner's � m J,'`S /' ( Address �Z S� C.C� r Assessor's Map/Parcel: (f Engineer's Name �� 0,71. . 7 NEW CONSTRUCTION REPAIR Telephone# J!` '' GJ Cv Land Use — �I � f L{ Slopes(%) — Surface Stones /t�0 Distances from: Open Water Body� ,,,�-ft Possible Wet Area�ft Drinking Water Well �ft Drainage Way ft Property Line •/U �t ft Other �- ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) q6 01 I 1 / Parent material(geologic) d(-( Depth to Bedrock tA10���`' �' p Depth to Groundwater: Standing Water in Hole: A ,/V co 1fdepmB from Pit Face N �VEstimated Seasonal High Groundwater �::: :•n�5n.n!n;;,?rnv;!!'!nm!n:,x!:',t!r :xa!:! .................................................__._::._...:::::rc_..:.;,_,.,................_...._..__._.n:.n-nvcn,n:n::::n:.,.,v.....rn.,vnn:!!#:.,.1:.......I...:.I:an._....I:c:,::c....... .._ .....: .�..i.,:::i:::nr::.-::e.:::,: r,r;<::"! ......._.... - .. .. :t. r :':r,,,���:,.t Method Used: �Q�ft,4 N� (•-J tLf(? N67 Depth Observed standing in obs.hole: in Depth soi mottles: n. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ .._.rr......:.r... .rr.........,...c �............._.,.n........_n....r......._:..r. ...,, ................... ... ,. r. .- +i,..r...._._..r. ..,.i.�'�'''!'r:'''�i! , !.............!.,...... _n.....,.......... r..I.........a..,l_....,..L........a!:L...._i_L,u...l...,.... ... ...,.. .1 .:is ... , .. v,... ,:u al........:.......:r_,.r.,...,..........,,.........,. r......:,.................r.!..,................�........::....,... ...,.. .,.. ..., .. .!':, :,:! �a1]z:_!:::nib„r:!n:!,n::::n:..::ni:I,"at�t yhr:a_::::.,iv.,:.!.,..:de q�l Observation ' .Z Hole# ." . Time at 9" Sb Depth,ofPerc Time at 6" Start Pre-soak Time Q '-r—� `f N Time(9"-6") End Pre-soak Rate Min./Inch 2• C Site Suitability Assessment: Site Passed_IzSite Failed: Additional Testing Needed(Y/N) /C/ Original: Public Health Division Observation Hole Data To Be Completed on Back :::::;::' :;:i:;::;;';<:i:i::i:::...... ................... :..::.....:. ;:::<::>:::>:<:::;:<: :»:::::>::;:•:::; ;:•;;:;•:•;:•:.::•:<...:::.::.:::::::.. :::.::::::.:::::::::.::.:.::..... Soil Other Depth from Soil Horizon Soil Texture Soil Color Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 A Loet.wt •' �D r yIY 1.6 = .4 C4 �.0 28 B•' xttd+aw /0 r? . s/ :: :::.: :..::::::::;::;•::.::.::...:..::.<:< �<:::: : .....:::.:.,.;:.,...::< :..,::..::�;: <:>>:::>:«<::>:>�:>> a#..... : .:: P;::O , EIt'VATXIII:::HID.LE:<:. ::.::::<.:>:>:.:::::::<::.;:<:....:.....:........... •<:::::.;;:;.;:;:;;.;:.::::::..:;::.:: ::<::»:::»:<:<;>:>:;:;:•;;;:::::::::.:: ....:.:::::.:...:..::•::.....:............... •. Soil Other Depth from Soil Horizon Soil Texture. ' Soil Color' Moulin Stones Boulderes. Surface(in.) (USDA) (Munsell) g (Structure. 0 j Gravel) yr ::><::> S lt'VA 'Zq. ::IUD• 0 :;::<»;:<:;:::::«>:> ►�.. . :::.:::':'::::::. . :. .. .. ... »:z>s;::;......:::::•;-::;;:::>:•;:..::::::.::::........................ Soil Other Depth from Soil Horizon Soil Texture Soil Color Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. e i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. °oGravel) Flood Insurance Rate Map: � --• �- Above 500 year flood boundary No_ Yes Within S00 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? certification . I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environ ental Protection'and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. �� I . Commonwealth of Massachusetts will Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r + 160 A&B Cedar Tree Neck Rd V Property Address Daniel Foley C> Owner Owner's Name _J information is Marstons Mills required for every V MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection h* aTf 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. A. General Information 1 as& 1., Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 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 16.340 of Title 5 (310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 8-21-17 Ihspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate 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. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 l 1 r Commonwealth of Massachusetts :a=1 Title 5 Official- Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;;!✓ 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 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: System is in good working order with no sign of failure. 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 N I Commonwealth of Massachusetts a rr Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town 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 16.303(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 3 of 17 Commonwealth of Massachusetts a 0 Title 5 Official Inspection Form'For i:.+. I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �.4;!✓ 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) t 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 Y2 day flow ` t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts a Title 5 Official Inspection For m ' .-I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � �.;�!✓ 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this 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 f Title 5 Official Inspection Form .. I Subsurface Sewage Disposal System Form -Not.for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town 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 1 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: r ' Number of bedrooms"(design): -6 Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 r Commonwealth of Massachusetts �+ Title 5 Official Inspection Form �i,4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town 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 , El 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? P El Yes ® No Last date of occupancy: 2017 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 �aa Title 5 Official Inspection Form :.N Subsurface Sewage.Disposal System Form :Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is Marstons Mills MA 02648 8-21-17 required for every + 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: N/A 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. I ❑ Other(describe): t5ins•3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 r Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form ;r Subsurface Sewage Disposal.System Form -Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name _ information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2003 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 50" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: 42"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: 1500 gal Sludge depth: 12" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts :a=�l Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments k. p.�;!. 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills t MA 02648 8-21-17 page.e. City/Town 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 20" Scum thickness I 1 0 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection,Form f, Subsurface Sewage Disposal System Form Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments QN �.1#. 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is Marstons Mills MA 02648 8-21-17 required for every page. City/Town 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.): Good condition with water at working level and no sign of back-up from field. 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 o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 5-500's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chambers in good condition and emtpy at inspection with stain line at 3"off bottom of chamber. 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 J Commonwealth of Massachusetts :a=,l Title 5 Official Inspection Form 1'.1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 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•3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts :a=1 Title 5 Official Inspection Form �lf;�I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `� �.r ✓ 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately r of f 1, 0 /14 Lj r A ell WN A "— �,/ .46 �r, --it- Sr `b - & Y - 6 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 , Commonwealth of Massachusetts a a=i Title 5 Official Inspection Form i.+ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �.:;!„ 160 A&B Cedar Tree Neck Rd Property Address Daniel Foley Owner Owner's Name information is Marstons Mills MA 02648 8-21-17 required for every page. City/Town 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: Date ® 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: Original design plans show no groundwater at 12'. 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 I Commonwealth of Massachusetts :a Title 5 Official Inspection Form W Subsurface Sewage Disposal System Form Not for Voluntary Assessments 160 A&B Cedar Tree Neck Rd Property Address P Y Daniel Foley Owner Owner's Name information is required for every Marstons Mills MA 02648 8-21-17 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked i ® 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 �pF tNE T DATE: FEE: r BARNSTABLE, MASS. .i639 `0�' REC. BY AlED39 Town of Barnstable i SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. REQUEST FORM LOCATION A Property Address: �t d a Tree K E,C k Rd Assessor's Map and Parcel Number: -7 b 2-9 Size of Lot: I Wetlands Within 300 Ft. Yes Business Name: No_� Subdivision Name: APPLICANT'S NAMl K a,*i s Phone Did the owner of the p I perty authorize you to represent or her? Yes No u.rt,P&3 2 a,,_d PROPERTY OWNER'S NAME CONTACTt�PERSON Name: j 16 Vf-C Z . e- l..�t t�a Tim-,Name: `>o "I)oI o-,o -U Dnt- waif S rGrt Address: Fu-rII 4 to Il AAA 01'90 3 Address: �� �add�.v' L-"-)C Phone: I ' Z?Z - -1 0 0 0 Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) D he- I'pat0 home ��nl ►�1'}�cGf 7D� NATURE OF WORK: House Addition 0❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC w Co,14 fed rr LABARGE ENGINEERING & CONTRACTING, INC. 22 Moss HILL RD. HARWICH,MA 02645 August 21, 2003 Mr. David Stanton Barnstable Board of Health Barnstable, MA Re: Septic System 160 Cedar Tree Neck Rd. Marstons Mills, MA Dear David: I have inspected the sewage disposal system at the referenced property prior to backfilling. To my knowledge and belief the system has been constructed in accordance with 310CMR15, local regulations and the approved plan. Sincerely, Todd LaBarge, P.E. phone(508)432-6360 fax(508)432-6792 Email—todd@labarge.cc TOWN OF BA.RNSTABLE LOCATION SEWAGE # - VILLAGE // f�,�Q��U . •� /L/JASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY. Ayr-4'0 LEACHING FACILITY: (type) �) �� �'� �' .l' �(size) 1 r6 JC�► NO.OF BEDROOMS U BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: al d Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any,wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet Feet Furnished by eg I PR ��' ® ��' P TOWN OF BARNSTABLEL LOCATION zX0 SEWAGE # VILLAGE //.icy 4 RJ',/d '�� /L,ZJ ASSESSOR'S MAP & LO7T,.�766—� INSTALLER'S NAME&PHONE NO. J5.0 SEPTIC TANK CAPACITY, LEACHING FACILITY: (type) 6,,) 6-0 6:�Ax kc.4"O(size) X'9 -10, 6 Y z� NO. OF BEDROOMS BUILDER OR OWNER/ PERMITDATE: �7'//D/ o r� COMPLIANCE DATE: a 1 a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist ,on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet c facib ty�/' Feet Furnished by XC. A y /� Y Y a No. 000 ^//7� , Fee /y 0— 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZI pprication for Mo pooar *pgtem Con!truction Permit Application for a Permit to Construct(v/u�)Repair( )Upgrade( )Abandon( ) 4rompleteSystem ❑Individual Components Locatio Address or Lot No. O er's Nam .e,Addres d Tel. 2 0- `i �� �,edwi'Tl�z�1V�,k �l 115 'air- a � Assessor's Map/Parcel -7 ®- Z �j (,�(A e �n V I nd �P V tzUJ Installer's Name,Address,and Te.No. beor� �/�P/%.qu Designer's Name,Address and Tel.No. cJ ✓,ogO �� ���— r3 -e Chi i rl c rc, Type of Building: Dwelling No.of Bedrooms Lot Size A-A sq.ft. Garbage Grinder( ) Other Type of Building F-e51 otu-ItL4,1 No.of Persons 4 Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 gallons per day. Calculated daily flow gallons. Plan Date k #,vZ k 2-0 Z©D Z Number of sheets Revision Date Title Size of Septic Tank i 9-00 OiLftoYiS' Type of S.A.S. .n Description of Soil Loa-Yn' j Sitter\d 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 a Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by is Bo d Heal �� Signed ., Date G Application Approved by Date Application Disapproved for th following reasons Permit No. 0 0 P- Date Issued �� • t W...':R y.. 4 t 4 4 if I va i ate- s. "Ent ", ered in computer: ` THE.COMMONWEALTHOF MASSACHUSfTTS 1 Yes PUBLIC HEALTH DIVISION -TOWN OF.BARNSTABLE MASSACHUSETTS Application for-D opool 6pgtent CongtructionAoerntit "Application for a Permit to Construct( Repair( )Upgrade( )Abandon( 11),,PComplete System ❑Individual Components Location Address or Lot No. Ow er's Name,Addres d Tel.N : l lva ce1X-r-TY-ee-lVer,k p. M054 o ns (��11 ar o e- Assessor's Map/Parcel, " 7 4PZr 1N• Rums r��l Installer's Name,Address,and Te.No. Th or (/?/%nu Designer's Name,Addresi and Tel.No. urwi4h M4 'e - L --u_-L 3(,a I : / Type of Building: Dwelling No.of Bedrooms ` Lv Lot Size I .R ✓t sq.ft. Garbage Grinder( ) Other Type of Building ReS�du+kt a-� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 6110 w gallons per day. Calculated daily flow gallons. Plan Date A Z,4-\ 2.0 1.0 0 2- 14umber of sheets .2 Revision Date Title Size of Septic Tank 15700 llorl S Type of S.A.S. Description of Soil LO a m,l S&n d Nature of Repairs or Alterations(Answer when applicable) t _ { 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,�of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bodrd ofHealth 1,_Signed .. Date- d e� Application Approved by rY' ,E 1 _ 1 DateAri 2 Application Disapproved for th following reasons i Permit No. 2 D Ua- &S Date Issued `�� ✓�A -- ------ THE COMMONWEALTH OF MASSACHUSETTS w BARNSTABLE, MASSACHUSETTS- Certificate of Compliance - ' THIS IS TOCERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by V, at rp 1C has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �D,)-/4.S dated e4 /U;2 Installer Designer The issuanc of this permit shall not be construed as a guarantee that the sy)tn wi )functio=dGeNs'gried. Date 2/ !.1 0 03 Inspector /�—S• J / s f ————--—— —————————.—————————————————————— No. 26/14 — 14 IZ— Fee Oil THE COMMONWEALTH OF MASSACHUSETTS \ PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopooar Opotent Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at n r p r./u,r 40',f A rrf and as described in the above Application for Disposal System Construction Permit. The applicant recognizes.,his/her duty to comply with Title 5 and the following local provisions or special conditions. ' Provided:Construction must be completed within three years of the date of this tpermit. Date: �I PP 2 a n Approved by `.f' 1V - , e J TOWN OF BARNSTABLE LOCATION �Q �eC,lAf^TfZQ �IZCIt; ( Q �# ism .� VILLAGE . ASSESSOR'S MAP&PARCEL S NAME&PHONE NO. b Lk- del t g- SEPTIC TANK CAPACITY I SUU LEACHING FACILITY.(type) (size) NO.OF BEDROOMS CD OWNEi PERMIT DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within, 300 feet of leaching facility) Feet FURNISHED BY . /® .' •r•r•r•f•/•J•J•!•f•f'/.'f•!•f•/•f•r J r r f•! f J•f,s• �•!•r •J• . •f•F•r•J•f•J•r•f•J•J•_ •J•J•f ..\ \ ♦ \ \ ♦ 4 t ♦ 4 \ 4 t k•\ % t 4 4 \•t t \ \ 4 t 4 \ 4 \ t \ \mot \ \ f I / f f f rtf f 4J r r f / f f f f�! fF F f f f f f f F f F f f f F f f f f r f r f r r f ! r J J r r ! ! r r�•r f r r r ! ! r J ! r / r r��r r t t t t \ ♦ 4 t 4 \ t t t \ \ \ t \ 4 4 t ♦ t le ell ell, f f F cF f f f ♦ ♦ ♦ \ ♦ \ ♦ \ \ 4 ♦ \ \ r r r r ! f r f • f f r J ! 29 $$ \ 4 \ \ ♦Q�tAAQ/t�/�tj�tt��t{!tt ♦ t ♦J\ft f\i T'J^l 7� f /t,�f+.t f♦/ 'ftf\r♦I♦ r r r I ♦ ♦ ♦ aW4*'Al - 51 KK f f f f \ ttt 010; ��` I f ♦ f } Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every 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. Important: A. General Information When filling out forms on the - computer,use 1. Inspector: only the tab key io move your Patrick M. O'Connell -- cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name 189 Cammett Road Company Address Marstons Mills MA 02648 City/Town State Zip Code 508-428-1779 SI 12855 Telephone Number License Number B. Certification 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„a9specj4n was performed based on my training and experience in the proper function and maixtflenance of§n sites a-, q sewage disposal systems. I am a DEP approved system inspector pursuant td Se l ction 15.3,s40 of; a Title 5(310 CMR 15.000). The system: , aE :3 r�o ® Passes ❑ Conditionally Passes ❑ Fails u;w ❑ Needs Further Evaluation by the Local Approving Authority la 1IRA March 18, 2010 rn In ector's Signat 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. L� 10-69 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Dis -sal System•Ige 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is �Marstons Mills MA 02648 March 18, 2010 required for every page. Cityfrown 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: ® 1 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: Tank is not in need of pumping at this time leaching system shows no signs of saturation. 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. Answer yes, no or not determined (Y, N, ND) in the ❑ 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.wil!.•pass inspection.if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ 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 ❑ obstruction is removed 10E9 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form of Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 p Y Y w 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is Marstons Mills MA 02648 March 18, 2010 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND:.Explain: ❑ 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 ❑ obstruction is removed ND Explain: 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 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. 10-69 Delaney.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is Marstons Mills MA 02648 March 18, 2010 required for every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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_day flow ❑ ® 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. 10-69 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is Marstons Mills MA 02648 March 18, 2010 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ z 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. 10-69 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is Marstons Mills MA 02648 March 18, 2010 required for every page. Cityfrown 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 0 ❑ 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 locat;on 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)] 10-69 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. City/town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 4 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): N/A irrigationsystem. Sump pump? ❑ Yes ® No Currently Last date of occupancy: Occupied. _ 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: Last date of occupancy/use: Date Other(describe): 10b9 Delaney.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth.of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Tank pumped two years ago. 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Compliance date: 8/21/03 Were sewage odors detected when arriving at the site? ❑ Yes ® No 10-69 Delaney.doc•C8/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 ' every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 2' Depth below grade: 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: 10.5' long x 5.8'wide- 1500 gal. 4" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 6" 12" Distance from bottom of scum to bottom of outlet tee or baffle Measured How were dimensions determined? 10-69 Delaney.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. Cityrrown 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.): Tank is not in need of pumping at this time, liquid level was found at bottom of outlet invert and tees were intact and clear. Recommend pumping in 18-24 months. I 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 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): I 10-69 Delaney.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 15 I • Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) 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 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.): No solids or high stains present, liquid level was found at bottom of all outlet pipes. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No I 10-69 Delaney.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 I I Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: 0 gal 50 ® leaching chambers number: Six Sixdry 50 s. ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Stone and soils surrounding leaching system were probed with no signs of saturation found. Covers were not excavated due to.close proximity to electric service. 10$9 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 I� • I <LCommonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. City/town State Zip Code Date of Inspection D. System Information (cont.) 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 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.): 10-69 Delaney.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address — ----------------- ---- — Delaney Owner information is Owner's Name ---- --- " Marstons Mills MA 02648 March 18, 2010 required for _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ 29 88 4 51 / Cedar Tree Neck Road ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 160 Cedar Tree Neck Road Property Address Delaney Owner Owner's Name information is required for Marstons Mills MA 02648 March 18, 2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope �j Surface water ® Check cellar ® Shallow wells Estimated depth to ground water: 20+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: Date ® 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: Surface water on opposite side of road is considerably lower than bottom of SAS. 10 09 Delaney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 0(15 �_— - ` \ l y Town of Barnstable csr�> `cxer<ae. 1619* Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. April 19, 2002 Mr. Bo Delaney 52 Saddler Lane West Barnstable, MA RyE� =r16® t�eda���ee��leck�Road�Ma�sto�sx�IV��(Is��A ' F076 029� Dear Mr. Delaney, You are granted permission to construct an onsite sewage disposal system at 160 Cedar Tree Neck Road, Marstons Mills. The permission is granted with the following condition: • The applicant shall either (a) submit a revised septic system plan designed for seven bedrooms or (b) submit a copy of a recorded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to six (6) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Sincerely yours, Susan G. Rask, R.S. Chairperson Delaney NOTE: DISCLAIMER: PRIOR TO ANY CONSTRUCTION,THE OWNER AND/OR CONTRACTOR ARE RESPONSIBLE FOR REVIEWING ALL PROJECT REQUIREMENTS (DEPICTED IN THESE DRAWINGS)AS TO CONFORMITY WITH ALL STATE AND LOCAL BUILDING CODES AND REGULATIONS, Including But not limited to; ZONING, CONSERVATION AND HEALTH DEPARTMENTS. CONTRACTOR OR OTHER PROFESSIONAL CHECK AND VERIFY ALL CRITICAL SITE REQUIREMENTS,MATERIALS QUALITY,QUANTITY AND SIZES,CRITICAL TOLERANCES AND DIMENSIONS, PROPER SIZING AND DETAILING OF STRUCTURAL ELEMENTS BEFORE CONSTRUCTION. I dd Isom ,,o y� q, I I I Ito INK IN I I t-- A ON 1 p -_ bt lr•R oMIto Iwo wlN'�P". 1001 a • 111 .1 lilt L 7. C3 4 ; o t a o _ ❑ a a 3 ` I _ 801 1:.. .._._.... .. _._...__ .. __ _...... .. ` i, I GENERAL l. THERE SHOULD BE A 2" MINIMUM AIRSPACE BETWEEN CONCRETE WALL AND WOOD STUDS. 2. USE RIGID INSULATION AND APPLY TO STUD WALL BEFORE SHEETROCK. 3. DEHUMIDIFICATION SYSTEM WITH AUXILARY FAN TO CONTROL HUMIDITY AND MOVE AIR. THIS WILL PREVENT MILDEW AND MEET VENTILATION REQUIREMENTS. 4. ELECTRICAL LIGHTING TO PROVIDE AND MEET LIGHT REQUIREMENTS. WINDOWS WILL PROVIDE SOME NATURAL LIGHT. O SCALE: v APPROVED BY: DRAWN BY WATERPROOFING DATE: REVISED (.BITUMINOUS WATERPROOFING ON EXTERIOR WALLS OF CONCRETE. 2. 4" PERFORATED PIPE WITH GRAVEL AROUND PERIMETER OF BASEMENT BESIDE " FOOTINGS. Vallorie Oliver Nantucket DRAWING NUMBER � 1 till Duo 10 Al S, N f ( I t .00 16, p i � I �► !F tl N� �� � t I, ,� C 1 I i I � y_ Yr-1 l r I �9 a i off wv i Qlj rw , i ,Q 1. ! i t � 0 , ,I u _ r srCGt�jG,soft NOTE: r THE OWNER AND THE CONTRACTOR,PRIOR TO ANY CONSTRUCTION,ARE RESPONSIBLE FOR CONFIRMING ALL PROJECT REQUIREMENTS(AS DEPICTED IN THESE DRAWINGS)AS TO CONFORMITY WITH ALL STATE AND LOCAL BUILDING CODES AND REGULATIONS(ZONING,CONSERVATION,HEALTH, ETC.)ALL CRITICAL SITE REQUIREMENTS,MATERIAL QUALITY,QUANTITIES AND SIZES;CRITICAL 1') TOLERANCES AND ALL DIMENSIONS;AND PROPER SIZING AND DETAILING OF ALL STRUCTURAL +ccT ELEMENTS SHALL BE REVIEWED AND CONFIRMED AS SATISFACTORY FOR ALL APPLICABLE 3 CONSTRUCTION CODES AND STANDARDS PRIOR TO CONSTRUCTION BY THE OWNER AND THE a BUILDING CONTRACTOR. 1 �...�� ._.—_ r....�..�—. ....�...�.�„+..� �.,�.........�.+r�:........ter.+...,+. '. i I MARSTONS MILLS N COVER TO BE WITHIN RATE 28 9" MIN. COVER n,P6" OF FINISHED GRADE TOF= 51.00'+/- COVER TO BE WITHIN d 6" OF =FINISHED GRADE WATER TESTED FOR LEVEL 'A Po I 4LOCU € '. SCHEDULPEP�9 2 LEVEL 3' MAX. COVER 9y� 4" SCHE 4 - d S=.01 FT/Fr Y t , PVC PIPE 1' MIN. COVER MIN. 47.42' • 55' +/- I.f. ' ; '' PI 2' PEASTONE CWE o 4� 48.60 (TYP)' 10' 14* 49.00 +/- I.f. 46.42 "]� t3 ® ® ® ®0® t® T 4' 22.00+/- I.f. C3 II= ® ® C=CM II= I® tI= GAS BAFFLE 47J8' 47.04' 46.87' IO ®II= 0 III O I)= 3.33" PLACE SEPTIC TANK AND 46.63 DIST. BOX ON 6" OF STONE OR 43.09' BUILDI NGNG ,,_MECHANICALLY COMPACTED SOIL I 2.5 1:.1 .151 I 2.5- 3/4" TO 1 1/2" LOCUS MAP 48.03' I DOUBLE WASHED STONE NOT TO SCALE PROPOSED 1500 GALLON DISTRIBUTION _ 6_500 GAL GALLEYS 5 MIN SEPTIC TANK BOX ' 'X ss ' -- H-10 H-10 H-a0 �F area a6&44 00- b� t<-44;(, 04j aWiS, k-10 '�Q,<vLj►� ,r BOTTOM OF TEST HOLE OR 34.50' SEPTIC SYSTEM PROFILE eN NOT TO SCALE NOTES: 1. SEPTIC SYSTEM SHALL BE INSTALLED ACCORDING TO 310 CMR 15.00 (TITLE 5)AND THE TOWN OF _BARNSTABLE BOARD OF HEALTH REGULATIONS. DATE: 2/28/02 HEALTH DEPT.: DAVE STANTON 2. ALL PIPES SHALL BE 4" SCHEDULE 40 PVC TEST HOLE 1 GSE= 48.75' + - SOIL EVALUATOR: TODD LABARGE 3. THE DISTRIBUTION BOX SHALL BE WATER TESTED TO INSURE LEVELNESS AND EQUAL FLOW. DEPTH FROM SOIL HORIZON SOILTEXTURE SOIL COLOR SOIL MOTTLING OTHER SURFACE (STRUCTURIE• * 4. THE INSTALLER IS TO VERIFY THE LOCATION OF UTILITIES (INCHES) (USDA) (MUNSELL) STONES, ETC) AND SEWER LINE ELEVATIONS PRIOR TO INSTALLATION. 0-2 0 5. EXCAVATION FOR AREA WHERE FILL IS REQUIRED SHALL EXTEND 5' LATERALLY BEYOND S.A.S. BAr BATH BAT 2-8 A SAND 1OYR 3/4 - 6. VERTICAL DATUM - BENCHMARK TO BE SET 7.SETSYSTEM 8-28 B LOAMY 10YR 5/8 - N T❑ sO NOT DESIGNED FOR GARBAGE GRINDER. BEL STOR ' SAND 8. ALL PRE CAST UNITS ARE TO BE PLACED ON 6" MIN. I _ MEDIUM - CRUSHED STONE, OR MECHANICALLY COMPACTED SOIL. € BED ACCES❑RY ELEV. - 8 C SAND 10YR 7/8 APT. 46.42 -1c) 9. MIN. PIPE SLOPE 1/8 IN/FT. 1/4 IN/FT PREFERRED. >B < , - ALL AT- �'.r � CuIJruKrVl TO , OF MASS. ENVIRONMENTAL CODE TITLE 5 AND LOCAL PEN GROUND WATER NOT ENCOUNTERED ( ) T BOTTOM OF TEST HOLE AT 108" ELEv. 39.75' PERC AT 50 - REGULATIONS. L❑ I F ITCHEN ��_MIN. PERC 25 GALS. 11. ALL MANHOLE COVERS ARE TO BE WITHIN 6" OF 20" IN 10:0o MIN TOTAL FINISHED GRADE. MAIN USE -SECOND FLOOR LAYOUT DATE: 02/28/02 HEALTH DEPT.: DAVE STANTON 12. SEPTIC TANK TEES SHALL CONFORM TO MASS & LOCAL TEST HOLE 2 GSE= 44.50 +/- SOIL EVALUATOR: TODD LABARGE REGULATIONS. DEPTH FROM SOIL HORIZON SOILTEXTURE SOIL COLOR SOIL MOTTLING OTHER 13. ALL STONE IS TO BE DOUBLE WASHED ACCORDING TO SURFACE (STRUCTURE; MASS. & LOCAL REGULATIONS. (INCHES) (USDA) (MUNSELL) STONES, ETC) 14. GROUND COVER OVER SYSTEM COMPONENTS SHALL NOT 0-2 o EXCEED 3'. 2-8 A LOAMY 1OYR 3/2 - BATH KITCHEN SAND A . ' VING BED 8-29 B LOAMY 1OYR 5/8 SAND r *� ELEV. =42.08 29-120 C MEDIUM 1OYR 7/8 P TRY SAND . � LAUNDR w Aft GARAGE ,a BED ENTRY NIN r; y GROUND WATER NOT ENCOUNTERED #y« 801TOM OF TEST HOLE AT 120 ELEV. 34.50' PERC AT 52 <.2__MIN. PERC 25 GALS. 7:00 MAN TOTAL APPROVAL ENGINEER STAMP MAIN HOUSE FI RST FLOOR LAY T DESIGN CA'_CULATIONS: NUMBER 01 BEDROOMS: 6 II`-- GARBAGE DISPOSAL UNIT: NONE Date DESCRIPTION Drawn Checked �Vo r �^� � TOTAL ESTIMATED FLOW: R E V I S I O N S ( 11 Q GAL./BEDROOM/DAY X 6 BEDROOMS = 660 GPD ) REQUIRED kPTIC TANK CAPACITY= (200%) = 1320 GAL. SITE AND SEWAGE PLAN ACTUAL TA;;K SIZE: 1500 _ GAL. BO AND KARA DELANEY AT LEACHINGREA REQUIRED: 1 160 CEDAR TREE NECK ROAD SOIL CLASSPERC _ IN LTAR RATE _ <a=MIGN MIN/IN. MARSTONS MILLS GPD / 0.74 GPD/S.F. _ _ 891.89 M SF USE _ 89_2____ SF SCALE: 1 = 20 DATE: MARCH 20, 2002 - t LEACHING CAPACITY: LABARGE SIX 500 GAL LEACHING GALLEYS IN A 12' X 56' TRENCH ENGINEERING&CONTRACTING,INC. I 22MOSSHURD. SIDES=. I-Mfi' x ?_'] _ _2Z�_ SF BOTTOM= [.I?-_' x __fiZ2_ S F I RWIR MA 02645 -- (508)432-6360 TOTAL AREA = __S44_ SF TOTAL CAPACITY = 944 SF * .74 GPD/SF = 698.6 GPD [BRAWN BY: SEM 0209 CHECKED BY: TAL SHEET 1 OF 2 I p91 p � 6>02 5016 A = 84.95' R = 50.00' t 4 2 6' 2 0' i i i `1 A </ ' I 48' Z4 A = 179,83' c R = 385,45' BED </ GARAGE 1 </ </ 3 //ZA.2'j y KITCHEN I W P AUNDRY ° DINING ti (� LIVING O ' O ENTRY �. 2' 12' X 56' BATH LEACHING TRENCH WITH 500 GAL GALLEYS BED 4 ' •r 15 0 GAL. TA K ° - SITE PLAN z w 1 = 20'TH a O p` G TTH1 0 6/10/02 REVISED DRIVEWAY, SEPTIC L❑CATI❑N, U S S AL 4 <1 4HOUSE LAYOUT. o Date DESCRIPTION Drawn Checked Z R E V I S 1 0 N S BED BATH o SITE AND SEWAGE PLAN (U BO AND KARA DELANEY AT KITCHEN 160 CEDAR TREE NECK ROAD IN LIVING 4 ' MARSTONS MILLS BED a' 22Sop SCALE: 1" = 20' DATE: MARCH 20, 2002 41- LA BARGE PLAN REFERENCE. BARNSTABLE GIS AND PLAN OF LAND E 2 ' 501 . ENGINEERING&CONTRACTNG,INC. IN BARNSTABLE BOOK 272 PAGES 29 AND 30 \ A = so.00' 22 MOSS HII,I,RD. 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