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HomeMy WebLinkAbout1210 RACE LANE - Health 12I0 Race Lane Marstons Mills k ' `t A= 083 — 023 SENDER: C MPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY O Complete items:1,2,and 3..,Also complete ;A. Signatureitem:4'if Restricted Delivery is-desired:- Agent Print ypur name and address oilti44everse ❑Addresseeso that we can return the card t6lyou. R ed by(Printed Name) C. Date of Delivery N Attach this card to:#die bac �����` 11714 or on the front if space permits i D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to- W. =za ,r �hY`< If YES,enter delivery address below: ❑No 3. Service Type 18 Certified Mail ❑Express Mall ❑Registered IM Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Exda Fee) ❑Yes 2. Article Number 7 0 0 5 116 0 0 0 0 0 0191 0 5 8 4 (Tmnsfer from service labeq M PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540, I I UNITED STATES PO 6 <<< < <� +� G first-Class Mail gqwPq� ! i i ill ! stage&Fees Paid QN P$ it No.G-10 • Sender: Please print your name, address, ` � si, is box • I I I �•� Town of Barnstabler 1 ����• „ `I r Health Division 200 Main Streets-,t�J Hyann is, 02601 _s,M - Barnstable THE r., Town of Barnstable ti Regulatory Services Department a�-am��a .1 tt 1 1 nARYSTAt3LE, +I �fp9 MASS. Public Health Division o �6gq. �m m A't All M 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO January 3, 2008 0`A b Thomas & Muriel Zenowich k �p� c/o Drew Zenowich Q 303 Rozier Court Leesburg, VA 20175 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 1210 Race Lane Marstons Mills, MA was inspected on August 21, 2007 by David Coughanowr, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system FAILED under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: A single cesspool system is an automatic failure in the Town of Barnstable. You are ordered to repair or replace the septic system within Two (2) years from the date of this notification by upgrading to a Title V system. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE B ARD OF HEALTH c ean,'R.S., Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures\1210 Race Lane.doc 7005 1160 0000 0191 0584 C� / el) C� P _A" Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 1210 Race Lane Property Address Thomas and Muriel Zenowichh?, yC . Owner Owner's Name l�zs�a`"� A Z—b 11 S information is g required for Marstons Mills MA 02648 August 21 2007 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 � 5 When filling out 1 forms on the computer, use 1. Inspector: only the tab key to move your David D. Coughanowr cursor-do not Name of Inspector use the return p key. Eco-Tech Environmental Company Name �n 43 Triangle Circle Company Address Sandwich MA 02563 City/Town State Zip Code 508 364-0894 1328 Telephone Number License Number B. Certification E I certify that I have personally inspected the sewage disposal system at this addressand that-the r 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•S�ection f5:340 of Title 5 (310 CMR 16.000). The system: r— ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority System fails per Barnstable Board of Health local regul ions, 0,..4P==�5 August 21, 2007 Inspector'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 j at that time. This inspection does not address how the system p will perform in the future under the same or different conditions of use. t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 J . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21 2007 every 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 fails per Barnstable Board of Health local regulation adopted 11110198. Said regulation stipulates that"Septic systems consisting of one cesspool shall be upgraded to conform to 310 CMR 15.00" 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 will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND 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 I ❑ obstruction is removed t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is required for Marstons Mills MA 02648 August 21 2007 every page. City/Town 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. t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is required for Marstons Mills MA 02648 August 21 2007 every page. City/Town 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: System fails per Barnstable Board of Health local regulation adopted 11/10198. Said regulation stipulates that"Septic systems consisting of one cesspool shall be upgraded to conform to 310 CMR 15.00" 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 '/z 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. t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21 2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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 El ❑ 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. t5-2753.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is Marstons Mills MA 02648 August 21 2007 required for 9 every 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 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)] t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21, 2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential ow Conditions: Number of bedrooms (design): n/a Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a Number of current residents: 0 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)): 107 gpd Sump pump? ❑ Yes ® No Last date of occupancy: Not knownDate 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): t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21 2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Owner's Agent 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: Age unknown. Dwelling was built in 1770. Were sewage odors detected when arriving at the site? ❑ Yes ® No L6-2752.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 Au ust 21, 2007 every page. City/Town State Zip Code Date of Inspection D. System Information y (cont.) Building Sewer(locate on site plan): varies 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.): Sewers appear structurally sound with no evidence of backup or leakage into dwelling Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is Marstons Mills MA 02648 Au ust 21 2007 required for 9 every 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.): 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): t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments It- �^M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is required for g Marstons Mills MA 02648 Au ust 21 2007 every page. City/Town 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 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.): Pump Chamber(locate on site plan): Pumps in working order ' ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No I t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21 2007 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: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 (secondsystem) ❑ 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.): 2 separate systems serve this dwelling. One consists of a single cesspool which automatically fails per Town of Barnstable regulations. The other system consists of two cesspools per information supplied by the owner to the Board of Health. Second system was not uncovered due to the automatic failure of the first single cesspool system. t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts iF Title 5 Official Inspection Form _ to Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is g required for Marstons Mills MA 02648 August 21 2007 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 dry Depth —top of liquid to inlet invert dry Depth of solids layer dry Depth of scum layer dry Dimensions of cesspool 6 ft x 8 ft approx Materials of construction stones Indication of groundwater inflow ❑ Yes ® No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): System to the north is a single cesspool which was uncovered and found to be dry. This system fails per Barnstable Board of Health local regulation adopted 11110198. Said regulation stipulates that "Septic systems consisting of one cesspool shall be upgraded to conform to 310 CMR 15.00". Collar below cover was starting to crack. 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.): L15-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is Marstons Mills MA 02648 August 21 2007 required for g 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. LOCATIONS A 6 1 31 f t 46.5 FL COVER TO GRACE 9 O � SINGLE CESSPOOL EXISTING DWELLING w Z J PRIMARY CESSPOOL w 3 OVERFLOW CESSPOOL RACE LANE NOT TO SCALE i t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 �r ,5 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 1210 Race Lane Property Address Thomas and Muriel Zenowich Owner Owner's Name information is Marstons Mills MA 02648 August 21 2007 required for g 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 ground water: 15+- 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: Barnstable GIS Department records You must describe how you established the high ground water elevation: Town of Barnstable GIS Department records indicate that the property is over 15 feet above groundwater table. t5-2753.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,% ravel p_ lg /041 C. Z G 5 D DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders: Consistency,% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Oravell DEEP OBSERVATION HOLE LOG . ` Hole# Depth from Soil ' Horizon Soil Texture Soli Color Soil Othe r i . Surface in: (USDA (Munsell) g Mottlin Structure,Stones,Boulders. - ) Cons i Flood Insurance Rate Mae: f Above 500 year flood boundary No_ Yes Within 500 year boundary No es Within 100 year flood boundary No ►� Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv'o tenal exist in all areas observed throughout the area proposed for the soil absorption system? _�, If not,what is the depth of n turally occurring pervious material? Certification I certify that on C) (date)I have passed the soil evaltiator examination approved by the Department of Enviro ental Protectio and that the above analysis was 1 e rm by me consistent with . the required training,ex se xpe ie a described in 310 CMR 15.017 Signattn e Date Q:\S.E?nCVERCFORM.DOC Town of Barnstable P# Department of Regulatory Services : BAWWABM Public Health Division Date //,I,�/off t6A�� 200 Main Street,Hyannis MA 02601 f Date Scheduled Time Fee Pd. Soil Suitability As essment for Sewage is os l �, Performed By: ' T I moroD Wi ��� C.0 r�� � tnessed By: / J LOCATION& GENERAL INFORMATION / 1,ocationAddress Owner's Name peke 11,740 Z I-) �'„i 115 Address loZ lv 1t'►• S co-�- Assessoes Map/Parcel:O$3 a Z-3 Engineer's Name*V./,0 So A)w IlkS NEW CONSTRUCTION REPAIR L/ Telephone# �►, M ; Land Use �"t' ` Slopes(%) O Surface"Stonep Distances from: Open Water Body I C0 ft Possible Wet Area±'y Z) ft Drinking Water Well ft" Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face.,,- n� Estimated Seasonal High Groundwater DETE ATION FOR SEASONAL HIGH WATER R TABLE Method Used: Depth Observed standing in obs.hole: _-in,in, Depth to soil mottles: In. Depth to weeping from side of obs.hole: _ in, • Groundwater Adjuatment tt. Index Well# Reading Date: Index Well level Adj,tbetor Adj.Groundwater Leval,,,e _ PERCOLATION TEST Date , Thne.�_._ Observation Hole# Time at 91, Depth of Pere Time at 6" Start Pre-soak Time @ 2 w 'lime(911•611)` End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC TOWN OF BARNSTABLE LOCATION�D ��-e� G�.C�� SEWAGE #_ V,IJ.LAGE_jjL}2ST,Q.CJS �S.ASSESSOR'S MAP & _LOT D 23 — 0�3 INS`TALLER'S NAME & PHONE NO. _ SEPTIC TANK CAPACITY LEACHING FACILITYAtype) (size) NO. OF BEDROOMS__3__PRIVATE WELL OR PUBLIC WATER PUTJLlC BUILDER OR OWNER �n� d NI�IZIEL �fL3 �[c�f DATE PERMIT ISSUED: DATE COMPLIANCF. ISSUED: — VARIANCE GRANTED: Yee No � --_ � __ � �� u M v�� � �_ � � Q � � ' �`� C' �� TOWN OF BARNSTABLE LOCATION //,. SEWAGE #o'1400,5 0q3 VILLA GE S- 4 S Pl i /CS ASSESSOR'S MAP & LOT'X,3 -"a3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type/'.-)#--Z-0 e4 (size).h S'A'/�•$� x �. �/!ri'/71e/d J�j NO. OF BEDROOMS BUILDER OR OWNER:i C&,) [ZiWti/ 0 PERMITDATE: �I�`/� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 No. . Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes I PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS A pplication for dig ogal �& !tens Cougtruction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No./07 ld X4& wt , Owner's Name,Address;and Tel.No. 7',�fo I45 -Re/'7 le/ `C e V&fa IC Assessor's Map/Parcel o0,3 AW3 AM> A&- /n , 1t14?1Q1f,&nS 1"/"11$ Yy,4 Installer's Name,Address,and Tel.No. � (,41' Designer's Name,Address and Tel.No. /a �Z Z '&?Ll ew 0q& C6.1".4 M t. Type.of Building: wellin No..of Bedrooms Lot Size sq.ft. Garbage Grinder W4 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �� gpd Design flow provided CA/0 gpd Plan Date a/(,�j $ Number of sheets Revision Date Title —� Size of Septic Tank ZQ y&- Type of S.A.S. Description of Soil sr Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 f the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this oa of Health. Signe ® ate Application Approved by ate Application Disapproved by: Date for the following reasons Permit No. Date Issued A K^— /�J (, YD No. � ,� Fee Entered in computer: -' THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for ;Bizpogal *P!6tem QCongtruction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑.Complete System ❑Individual Components Location Address or Lot No.Ao21O R,#& Al. ,, Owner's Name,Address,and Tel.No. f Ti4 4'5 w jna+'l Zc vo tv C� i Assessor's Map/Parcel /o�/O A a- �i? Iii4ex Ohs /b't.,j/5 +^►�. Installer's Name,Address,and Tel.No./,5e'' (..lf/"/p�e�f Designer's Name,Address and Tel.No.3 4Y.I D '6. /VASUA •,� /�i"o�e��p RO. C' '�� �q. D.�63S� F. �Ano�v��rE l4q. Sad- 833 - Al77 Type of Building: & 39 y 'tr�` �` � %' / " A., y _Ewe llin No.of Bedrooms Lot Size sq. ft. Garbage Grinder (I14 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures -- i ,Design Flow(min.required) ��U gpd Design flow provided C/f;,/U gpd Plan Date o/wX Number of sheets / Revision Date i Title Size of Septic Tank / (���j(//�Z,�J Type of S.A.S. gQAli&41,jr Description of Soil Nature of Repairs or Alterations(Answer when applicable) 4hd& Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 df the Environmental Code and not to place the system in operation untilia Certificate of ,.Compliance has been issued by thisoa of Health. Signe I. A CAI Fate Z , Application Approved by Date Application Disapproved by: ; Date for the following reasons _ t Lj Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS r BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the 6n'--sate Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned( )by C s J ) � F at r J has been constructed ig accordance with t9e provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved flow gpd The issuance of this permit shall not be co strued as a guarantee that the system will f Rct`o a de igned. Date In Inspector. i ————— o———————————————————————————————/—-- No. Fee7 THE COMMONWEALTH OF MASSACHUSETTS y PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1Wigpogal *p! tem Con.5truction Permit Permission is hereby gra to to Construc ( ) Repair ( ) �^Upgrade ) Abandon (� ) System located at y'-t !e. F �`C e7 1 � a and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction mutt be ompleted within three years of the date of this Date [ Approved by I: I 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director + BAj 1VSTABEE. • Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 -Fax: 508-790-6304 Installer &Designer Certification Form Date: I!G . I gog Designer: 1 IWO 'e,2• Mq54 "ll/ Insta (� I Address: . Address: 6W444, j Y • I was issued a permit to install a (d te) (install ) ,,!! septic system at 1210 �I��i l& based on a design drawn by (address) 4\n '�• MA_606� I QGj dated (designer) 1� :certify that the septic system referenced above was installed substantially a6bordin 'to. " .he design, which may include minor approved-changes such as latq� relocation of he 6tubution box and/or septic tank- . �. t, 4. I certify`that the septic system referenced above was installed with''Major.changes' greater tha.�10' lateral relocation of the SAS or any vertical relocation o£any component of the.sepe6;system)but in accordance with State &Local:Regiflat ons. Plan revision of ce: fied as-bii;li'b.y designer t6'follow. �b V, icy VwtallgAi ature) o B. 41ASQN: . No:i965: . sr� Sgti�T_a (D er s Signature) Affix a e 's Stalip Here) �. PLEASE RETURN TO BARNs'T..ABLE I'UBLIO HEALTH DIVISION: C RTYFI.0 TE OF COMPLIANCE WILL N�'T �E SSUED UIVTII: BOTH THIS 3F4RM;`: _ BUILT EARD ARE RECEIVED U'1tsT=:RAR : STABL]E PUBLIC HEALTHD SIGN Tj3ANK YOU. � r, Q:llealth/Septic/Designer Certification'Forr:, y 1 w ,m Horne:Departments:Assessors Division:Properly Assessment Search Results New Search " W=RIN i New Interactive Maps >> Owner: 2008 Assessed Values: ZENOWICH,THOMAS D&MURIEL TR 1210 RACE LANE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $144,200 $144,200 083 /023/ Extra Features: $2,300 $2,300 Outbuildings: $31,200 $31,200 Mailing Address Land Value: $215,000 $215,000 ZENOWICH,THOMAS D&MURIEL TR %ZENOWICH,DREW Totals $392,700 $392,700 303 ROZIER CT Residential Exemption Received=$105,082 LEESBURG,VA.20175 2008 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $56.78 Fire District Rates Town Barnstable FD-All Classes $2.04 $6.58 C.O.M.M.-All Classes $1.03 Commercial C.O.M.M.FD Tax(Residential) $404.48 Cotuit FD-All Classes $1.03 $5.80 Hyannis-Residential $1.53 Personal Property Town Tax(Residential) $1,892.53 Hyannis-Commercial $2.35 $5.80 Hyannis-Personal $2.35 Other Rates W Barnstable-Residential $1.86 Community Preservation Act 3%of Town Tax W Barnstable-Commercial $1.86 W Barnstable-Personal $1.86 Total: $2,353.79 Construction Details Building Property Sketch & ASBUILT Cards Building value $144,200 Interior Floors Hardwood Property Sketch Legend Style Cape Cod Interior Walls Plastered Model Residential Heat Fuel Gas Grade Average Heat Type Hot Water Stories 1 1/2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 4 Bedrooms Roof Structure Gable/Hip Bathrooms 2 Full Roof Cover Asph/F GIs/Cmp living area 1761 Replacement Cost $192235 Year Built 1770 Depreciation 25 Total Rooms 8 Rooms Land �a�iT 460 CODE 1010 Lot Size(Acres) 1 Appraised Value $215,000 f l Aj x � Assessed Value $215,000 AsBuilt Card N/A w View Interactive Maps >> s x a Sales History: Owner: Sale Date Book/Page: Sale Price: ZENOWICH,THOMAS D&MURIEL TR Apr 18 1997 12:OOAM 10704/055 $1 ZINOWICH,THOMAS D&MURIEL V Mar 15 1987 12:OOAM 5636/163 $238,000 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BRN3 Barn 1 Sty/Lt 1200 $30,000 $30,000 FPL2 Fireplace 1 $2,300 $2,300 SHED Shed 112 $0 $0 SHED Shed 256 $0 $0 FGR2 Garage-Avg 380 $1,200 $1,200 Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRIN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) ILA. Page 2 of 2 o r r 1:2 Listing#20709010 Page 2 Interior Amenities Bsmt Baths Lev 1 Baths 1.0 Lev 2 Baths 1.0 Lev 3 Baths Interior Features Dry/HU-E, HU Washer, Mud Room Floors Vinyl,Wall to Wall Carpet,Wood Equipment/Appliances Range-Gas, Refrigerator Living/Dining Room Combo No Kitchen/Dining Room Combo No Fireplaces Yes #of Fireplaces 2 Exterior Amenities , Pool/Pool Description No/ Dock/Dock Description No/ Exterior Features Barn/Stable, Porch,Screens, Storm Doors, Storm Windows,Outbuilding Siding Shingle Roof Asphalt, Pitched Assoc Fee/Fee Year / Assoc/Membership Required No/ Amenities Waterfront/Waterfront Desc No/ Waterview/Waterview Desc Yes/Lake/Pond, Public Miles to Beach .1 -.3 Water Acc Lake/Pond, Public Beach Own Public Beach Desc Lake/Pond Beach/Lake/Pond Name Mystic Lake Convenient to Golf Course,Major Highway,School School District Barnstable Neighborhood Amenities Mechanical Amenities Heating/Cooling 2 Zone Heat, Natural Gas, Hot Water Water/Sewer/Util Private Sewerage,Telephone,Town Water, Inspection Req'd Hot Water Natural Gas,Tank Legal/Tax Information Improvement Asmt $204,900 Land Asmt $215,000 Other Asmt 0 Total Asmt $419,900 Annual Taxes/Tax Year $2,653/2007 Annual Betterment 0 Unpaid Betterment 0 Title Ref-Book/Page/Cert 10704/055/0 Plan To Be Assessed Unknown Spec Assessment Mass Use Code/Definition 101-Single Family Asbestos Unknown Undergrnd Fuel Unknown Flood Zone Unknown Lead Paint Unknown Printed by CENTURY 21 Seaside Village on 02/07/08 at 4:54pm Information has not been verified, is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2008 Rapattoni Corporation.All rights reserved.(Residential Agent Detail) http://ccimis.rapmis.com/scripts/mgrgispi.dll 2/7/2008 Page 1 of 2 Pending Listina#20709010 1210 Race Ln Marstons Mills MA 02648 LP $369 000 Prop Type Single Family Subdivision County Barnstable Town Barnstable Zoning RF Sq.,Ft./Source 1,981 /Assessors Records Rooms 8 Lot Size/Source 1.00ac/(Field Card) Beds 4 Style/Desc Cape/Antique 4t.ryG.,zGw "' •� �'"��"�"" Baths F/H 2/ Levels 1.5 Year Built 1770/Approximate Tax ID 83-23-0-0-BARN Remarks: NEW PRICE!!! Beautiful country setting for this picturesque antique located on an acre lot with waterviews of Mystic Lake.The numerous outbuildings include an enormous antique Post&Beam Barn,a two car garage and garden shed.The main house offers 4 bedrooms and two full baths,fireplace, a full foundation,newer boiler&water tank.Tremendous potential!Spectacular lot!At one time an antique shop was run out of the barn. Location is known as Crocker Farm. Room dimensions stated are approximate,buyer is encouraged to verify.The property taxes stated with the assessors office as exemptions are available to some homeowners, please verify. All-Office Remarks: Vacant,easy to show.To schedule a showing, please call Valerie(508)420.8700 or Donna(508)280-8811. Directions: Take Race Lane, house is just beyond the Marstons Mills Airport on the right,corner of Race Lane and Stoney Pond Circle, #1210 Race Lane. Showing Instr.: Appointment Req., Call Listing Agent,Yard Sign Listing Agent Donna Schulze 508-420-8888 x22 donna@realestatecapecod.com Listing Office CENTURY 21 Seaside Village 508-420-8888 Agreement Type ER Listing Date 08/10/07 Orig. List Price$419,000 Owner Zenowich DOM/CDOM 123/123 Commission SAC 0% BAC 3% DDAC 0% FCOM2% Other Commission N/A Dual or Variable Rate Commission Arrangement No Comments General Information Garage/#Cars Yes/2 Gar Desc Detached Parking Shell Bsmt/Bsmt Desc Yes/Full, Interior Access Foundation 38/29/Concrete,Stone Sep Liv Qtrs/Desc No/ Wing Width/Wing Depth/ Rd Frntg 150 Irreg No Zoning RF Year Round Yes Lot Desc Gentle Slope,Wooded Lot Width/Lot Depth 159/289 Street Description Paved, Public Room Sizes&Levels Living 21 x 14 First Floor Built-ins, Fireplace,Wood Floor Dining 14 z 14 First Floor Built-ins, Fireplace,Wood Floor Family Kitchen 12 x 14 First Floor Built-ins, Laundry Area, Mud Room,Vinyl Floor Mstr Bedrm 19 x 12 Second Floor Dressing Room, Skylight,Wood Floor Bdrm2 12 x 12 Second Floor Wood Floor Bdrm3 7 x 8 Second Floor Wood Floor Bdrm4 11 x 12 First Floor Closet,Wall to Wall Carpet Laundry 7 x 6 First Floor Foyer 3 x 5 First Floor Sitting Room 9 x 11 Second Floor Wood Floor Sitting Room 9 x 7 Second Floor Wood Floor Printed by CENTURY 21 Seaside Village on 02/07/08 at 4:54pm Information has not been verified, is not guaranteed,and is subject to change. Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright @2008 Rapattoni Corporation.All rights reserved.(Residential Agent Detail) http://cciriils.rapmis.com/scripts/mgrqispi.dll 2/7/2008 ASSESSORS MAP : ' TEST HOLE LOGS ` NOTES: PARCEL : r.A FLOOD ZONE- IVOT f 6Af""9 SOIL EVALUATOR :�r�V1 G� -- - - WITNESS : 1)1\1t 1t12.14 1) The installation shall comply with Title V and Town of Barnstable Board of " Health Regulations. REFERENCE: ���� �� �� �� �� �"��- ,;� � DATE: F� .� 2�0 I 2) The installer shall verify the location of utilities, sewer inverts and septic _._N-_ �_ .:_ _.._. -_ r. PERCOLATION RA E: Z !t� 1 Ohl 4,,f ;D .-D components prior to installation and setting base elevations. �.�Q1� _ _ _ . _. . v_.. .. _ <. ._._.._, �,�� _ -._ �(, L5 (7�j,�} ) Al gravity s g o be 4 inch Sch 40 P at 1/8 per foot. T first �G Z ll _...._.. ________. L V 3 1 gra it septic piping t VC e he TH- I TH-2 two feet out of the d-box to the leaching shall be level. � r6AUJV10 s,q 4 tokqm 144) This plan is not to be utilized for property line determination nor any other purpose other than the proposed system installation. 5 All septic components must meet Title V specifications. ) p p p ;l �� L�5 � 6) Parking shall not be constructed over H10 septic components. ` d � 3� �' 7) The property is bounded by property corners and property lines. LOCATION MAP l,i�`: �'�. `�,� 8) The property owner shall review design considerations to approve of total lY( S1AW qco I. design flow and number of bedrooms to be considered for design. Receipt I 1/, of payment for the plan and installation based on the plan shall be deemed 61 lb R7l�, Cl "`("� f approval of the design flow by the owner. ` 9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall be removed along with contaminated soil and replaced with clean washed y^ Y�Ip ftUWP ATvL Wt 2 it? T sand per Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the 0 ,12_ - ------- - water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if SEPT I C. SYSTEM DESIGN applicable. 11) If a garbage grinder exists it is to be removed and is the responsibility of the F.+ £ owner to ensure such. FLOW EST I MATE 12)The installer is to take caution in excavation around the gas line. 13)The installer shall verify the location, quantity and elevation of the sewer t BEDROOMS AT 10 GAL/DAY/BEDROOM - 4qc)GAL/DAY lines exiting the dwelling prior to the installation. ° - #� �a �F �► SEPTIC "SANK I / Fl D GAL/DAY x 2 DAYS - beO GAL USE IRO GALLON SEPTIC TANK (vv-lwom wc5T 1Aux)Lx-')6DD � f S0i— AB:�ORPTION SYSTEM zas>�nr t r tyf, H Z0 H 1 CAP )WFI(, I,�i =��j �: q f No Q SIDE AREA: rao.lt,.,tkf, a,�'~ BOTTOM AREA: r ?C 1G,$ '�� O �1 -bI e t. p n, ZS Y E3 SEPTIC SYSTEM SECTION (V ) R of rovw+� T►04 _ f »R fa-I,CSC? '-� _ _ _ _ ct� -�v A (.1 }t 2''of 3/E" 51111s �11�TI. 1821 '� m� ,. J �' /�,'^]`�"'']'` r r• / SDI - •e 0 • ! • ! C • {• yy� 1 1 et D-BOX 7 '150C) GAL 511C -y4' W_K!Wrtr>_tJVAf, --�-' 57r ? r-1� ---- T � SEPTIC TANK -. . -� �31,��,�e1D, ---�-I � . � tv \ 1 ..�_._.vzam'q wY r 3r R,LE,. rLey,_SITE AND SEWAGE PLAN LOCATION : YVIA f PREPARED FOR : SLR c- �-- T SCALE: - O DAV I D B . MASON K�j DATE: Z b2.0 DBC ENVIRONMENTAL DESIGNS EAST SANDWICH . MA w DATE HEALTH AGENT ( 508 ) 833- 2177 3 W 2