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0739 ROUTE 149 - Health
739 ii Marstons Mills _�I ? TOWN OF BARNSTABLE rIct z OCATION 7✓ y Rte I'l9, SEWAGE# a0o�-30,? PILLAGE or 57,04,1 .10i//5- ASSESSOR'S MAP&PARCEL 'JINSTALLERS NAME&PHONE NO. Ate, Ito Cow�7�yvc'y`•"s'� '� g y SEPTIC TANK CAPACITY -,�6'Oy® LEACHING FACILITY: type) -O 4 '/a )f a� , - 16 NO.OF BEDROOMS OWNER S O/A e PERMIT DATE: -a?G 04� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /a• Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) i Feet Edge of Wetland and Leaching Facility(If any wetlands exist . 1074 within 300 feet of leaching facility) — Feet FURNISHED BY/4h f SX 7Y //7 3 4 ?«A k f�Mp Q TOWN OF BARNSTABLE LOCATION 7� �� � SEWAGE # VILLAGE ASSESSOR'S MAP & LOT PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS WNERv - PERMITDATE: e,,.® COMPLIANCE DATE: Separation Distance Between 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 d No. t779,(:!Q 6 —3U Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ves 'o .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Oigogal 6p6tem Cougtructiou Verna Application for a Permit to Construct( ) Repair K) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 7 9 9 R00 Tf—r /47 Owner's Name,Address,and Tel.No. A .4p-6- rJ5 �1��5 �1;A�_ )P1 o, Fox 0441 Assessor's Map/Parcel ,� eL Z1 ��' g 00✓0350�.. A4 E, Installer's Name,Address,and Tel.No. Mod Designes Name,Address and Tel.I�9 n f50 j11A_ G. 44 0 & 945/ev !N� !t r �o.130Y 339/ua-S9o=Ls �1//so�i4 p2G`/� P ox e8 /ViA-StIP /l . Type of Building: Irv) CA — ® 47 Dwelling No.of Bedrooms �i��U,L� Lot Size ��, sq. ft. Garbage Grinder (kel Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd gpd Plan Date J UA-, F, ZOO.( Number of sheets `Z- Revision Date Title z Size of Septic Tank �& Type of S.A.S. d4440-1 0}�9,n�,8 -S Description of Soil A4'! RZ.4 AJ A4.,P0*0«t4rt6 ez- Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued b o alth. Si ed Date ®�� Application-Approved by Date o 6,13 Application Disapproved by: Date for the following reasons Permit No. aoc( 3o Date Issued No.coo Co --30 y `_ Q Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for �hgponl 6p5tem Construction permit Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 75 7 XOd /,f � Owner's Name,Address,and Tel.No. 044 ' Assessor'sMap/Parcel /d f ���g /G45 2�1 j�j"� d�l/U✓�S�C �, i Q Installer Name, ddre s, Tel.No. Designer's niter's Name Address and Tel. .o. e vhn, LGls. � '/ ,p l tr�f�CC�1Jl3J�ALGw�/��/�Lf/+1,��� �J AS�iO TI pe of Building: �Kl ��N( (5DD 19 z- O 17 Dwelling No.of Bedrooms 3 F'0704Lr Lot Size ' � sq.ft. Garbage Grinder (N!) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �Sy gpd Design flow provided gpd gpd Plan Date ^J Use.. f /00 Zoo 6 Number of sheets Revision Date Title sePn<1 J` ws)-_Ci � %��� (�Pl'GL9+J� �l.�}a✓ Size of Septic Tank Type of S.A.S. (2r�A ,�3S Description of Soil ' ,41.PV4/0 eI44Al0 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 t' accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by-this a d of Fl,,alth. Sited Date Application Approved by Date ��'-'''"��8"e 6 f cad ko Application Disapproved by: Date for the following reasons Permit No.aOC)& Date Issued t0I 2)o ——————— 1 — — — ———————————————---- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS d Certificate of Cony Yiacnce s / THIS IS TO CERTIV V e�Onn site Sewage Disposal System Constructed (11C ) Repaired ( ) Upgraded,( ) Abandoned( )by {t�i e� site has been constructed in accordance with the provisions f 't e 5 and the for Disposal System Construction Permit No C �6 dated 6 /3,6 Installer Designer f1C #bedrooms. Approved design flow d gpd The issuance of this permit shall not fb'ee Jconrstru/�d+as a guarantee that the system will function as d signed. ^y�� Date l f �( b Inspector ——— / —— �-————————————————————————————————— No. v��nn' Oa—� Fee I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1=i!5poga16p.5tem Construction Permit Permission is hereby granted to Construct (Y1 ) Repair (X ) Upgrade ( ) Abandon ( ) System located at 737 Z O y r0- 47 A?v?- and as described in the above Application for Disposal System Construction Pt t:T e applicanlerecogpizes his/her duty to comply with Title 5 and the following local provisions or special conditions. P Provided: Const cti n must be cnmpleted�within three years of the date of thi_ perm Date Approved b _ r Town of Barnstable tNEl°'yo Regulatory Services s * Thomas F. Geiler,Director * BARNSTABLE, 9�A 16 �0�' Public Health Division 'E039. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:. 508-862-4644 Fax: 508-790-6304 Installer & Desiener Certification Form Date: Sewage Permit# -10L Assessor's Map\Parcel /01 14"'Imt5®� Designer: �a06 A� cU�Z1���i°�6 Installer: Cf Address: �?D, /iSC 7, -zA Address: 0 l3oY 33 y xy//s /fb Co s� f On �-��- r✓lo �), �, {�� was issued a permit to install a (date) (installer) septic system at P4y7Z-' ��� VjaG based on a design drawn by (address) /1� �/6A� �/L✓ i�.� - 06,dated —bl-le A) 200� (designer) certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. BBUCEG. v l ^i Instal er's Signature)' MUt"!PHY W 6 No.749 (Designer'srl ture) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 03-09-06.doc HAMBLIN POND / GAR. N _ LOT 2 2 / QED A.M. 101 I rti( PAR. 004 Q (SOUTHERN HALF)UPLAND AREA=88,995t S.F./2.04 ACRES TOTAL AREA=96,036t.S.F:/2:20 ACRES. / o 1 , Gam/ H-20 / ' TANK / � w HOUSE EXISTING TANK W 4 #739 CLEANOUT o --O 3 RISERO 1000 0 \ Gj 3 ' Jw / CHAMBER 0 D-BOX V� ' RISER© Pv O 2 VENTD� LOT LINE �i BVW 1 2 3 4 5 6 00 o' A. 66.9' 74.3' 75.8' 138.8' 147.9' 142.8' B ' 51.1' 57.9' 56.8' 117.3' 128.5' 118.4' PREPARED FOR: JIM OLNEY SEPTIC SYSTEM (AS- BUILT) CERTIFICATION #739 ROUTE 149, MARSTONS MILLS, MA. JULY 18, 2006 JJ#1049SEP SCALE: 1"=30' .PLAN REF: 167 35 DEED:1142 590 ASSESSORS MAP 101 PARCEL 004- SOUTH HALF MacDougall. Surveying ZONING: "RB" FLOOD ZONE: "C" & Associates I CERTIFY THAT THE SEPTIC SYSTEM WAS INSTALLED IN SUBSTANTIAL COMPLIANCE P.O. BOX 2428 WITH THE DESIGNED PLAN. Mashpee, - Ma. 02649 "EGISTERED STALLE DATE ph. (508)419-1086 fax. (508)419-1087 email: macdougallsurvey NITAR AN DATE @Comcast.net l• 4 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION At t 1� TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A ®®j ®®� CERTIFICATION Property Address: 739 RT 149 6--r 1 MARSTONS MILLS Owners Name: Owner's Address: D ,,30.� �G&, 1 � s vil t , Date of Inspection: 12/19/05 C- cl Name of Inspector: (please print) Douglas A.Brown _ Company Name: Douglas A.Brown Septic Inspections `r) Mailing Address:P.O Box 145 v ;� Centerville,MA 02632 Telephone Number: 508-420-4534 can CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority X Fails Inspector's Signature _ Date: 12/19/05 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. Notes and Comments SINGLE CESSPOOL ""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. Title 5 Inspection Form 6/15/2000 page 1 Revised on 10/31/2000 • Page 2 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information winch indicates that any of the failure criteria described in 3 10 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: one or more system components as described in the"Conditional Pase' 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 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 obstruction is removed distribution box is leveled or replaced 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 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 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(l)(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 I 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: Page 4 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 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 1/2 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. X _ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] yes (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 3 10 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. You must indicate either"yes" or no to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 11 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 yb4'm 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 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 739 RT 149 MARSTONS MILLS Owner: Date of Inspection: 12/19/05 Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No _ X Pumping information was provided by the owner, occupant, or Board of Health X 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? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ 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: Yes no — _ Existing information. For example, a plan at the Board of Health. X _ 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(3 ))(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection. 12/19/05 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): 2 DESIGN How based on 3 10 CMR 15.203 (for example: 110 gpd x 4 of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): _ Seasonal use: (yes or no): _ Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no):_ Last date of occupancy: COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):— Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): _ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _ Septic tank,distribution box, soil absorption system X 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: Were sewage odors detected when arriving at the site (yes or no)?_ Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: _concrete_metal_fiberglass polyethylene other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): _(attach a copy of certificate) 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: 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:_ 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 TIGHT or HOLDI NG 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: eallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): 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 or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 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: 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.): CESSPOOLS: X (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: ONE 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 or 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.): Page 10 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 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. Page 11 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM ] INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 739 RT 149 MARSTONS MILLS Owner's Name: Owner's Address: Date of Inspection: 12/19/05 SITE EXAM Slope: Surface water: Check cellar: Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: 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: 02/18/2006 02:50 5084289334 EXCLUSIVE BROKERAG PAGE 02 U 2, 119 Route 149 Marston Mills, MA 02648 Saturday, February 18, 2006 Thomas McKean Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: 739 Route 149 Marstons Mills Dear Thomas: The Estate of Vincent Cook is hereby requesting an extension of your order dated Jan.19 2006 to hire a Professional Engineer within a ninety days. At this time I am asking for a extension of ninety days from the date of the closing of this property. I expect the closing to happen on or before March 30 2006. This property is under agreement to close and the new buyer will be making arrangements with a Engineer to repair/replace the septic system. The house at 739 Route 149 is need of repair and the cesspool needs to be replaced , The new buyer has expressed plans to either do the repair or replace the entire house structure as the present house dose need updating. As Mr Vincent Cook expired in May 2005 there has been no use of this house by him or his Heirs. And the use has been for years very seasonal. If you need any more information please feel free to call me any time. Sincerely, Cr ig G. Larson 02/18/2006 02:50 5084289334 EXCLUSIVE BROKERAG PAGE 03 FEB-17-0:3 FP- 111�,'6 AM FAX NO, P, 02 Town-of Barnstable �; f Ragulatory Services Thomas F.Gefler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hysamis,MA 02501 0115ce: 503-SF -46"a Fax: 50;-790-6304 Mr V inccnt Cook P.1" 1.3ox 168 Miivsious Aiils,MA 02649 N 0-PI-COM PLIANCE WITH STATE ENVIRONMENTAL COFE TITLE V. The Foptir systein ownod by you located at 739 Route 149, Marstons Mi.113 was inatnn3ted )n,Decomber 12`h 2005;by Douglas A.Brown, a cer iCod septic il,spector ftzr Iho;l;.ate cf Massachusetts. 'I10, i.t`,?9;.1 ion of your septic systcrn showed that your system he A"FAIL,,D"ender guien':$•,es of 1995 STM.F 5(310 CMR 15.00)DUE TO F,-,:E FOLLOW>NG: Single cesspool,system automsaticalty fails. Ytr? v.re o-"ercd to hire aprofessional engineer or registered :iim Marian to repare ft plar. of prrlposed replacement septic system componcnts(s). This plan is to be,ubmittad to t!1c TGW ii of Fsarnstable Public Health Division Office(Regulatory Setvices,P.00 Mani.Stma, 1;1y nis), -vithia(90)days receipt of this letter, The plan wi"1 be,ng the sr..-ptic system into _ornp'liancc with 310 CMR 15.00, The Statc Environnicrital Code,Tit'e V. Your are s ,o ordered to upgrade o-replace the septic system wits.i six mor:the (180)d:Tps ofyc.,-r Mc6pt of this letter, Ar..y�-c,:soa aggrieved by any order Issued by flit local app,ov al a athority}.;lay apt seal to arri '�T,-1 c.Xcompetent jurisdiction.as provided for by the la-x-s on the Coni..nonwr,lth, Yc�u. ka-,•e he option of requesting an adjudicatory hearing pu.-.swait to 31a CMT *1 i,42.i. Fa;lurc to :�canplywith this order will automatleallyresult i.n ai pu jIia licari:ls scilo."uled MO..e the -Board of Health, 0P E 130ARD Or l•1LALT14 l't'?r ias A, 'McKean R.S.,C.II.O, Ag:nfi o"t}•.c Board of Flcalth I�i 02/18/2006 02:50 5084289334 EXCLUSIVE BROKERAG PAGE 04 t FED-17-06 FFI 12:33 PM FAX N0, F. 02 EDWARD F. LISTON,JR., TEL.0 A .Vex jenny limited Ljijbilily Cwpd qv Auorny o 1.mo, P.O.BW 1056 2071/ooperAaemre 7 a ed 1 inn 1VeW1=9 087s4-lax 7J2)244J900 V°0-Fox 1056 ILDWARD F.1.; 110N,IR FAX (732),0S•8968 Toms Sines.,T•iT 08154-1056 F.Me/k F_rl►aurrll��rQYerr��,�rrt February 17,2006 Town z.f Be--iistable Pubic '.'ealta Division 200 9t�-cct 11wci::,A'102601 739 Route 149 Maretcns Mills,Massachusetts To IVlw,ri It May Concern, be advised that I represent the Estate of H. Vin,cem Cook,dec::ascd. The purpc: e o:'il;i hitter is to authori=Mr.Craig,e. Latson,whose addros. is 119 Route 1491 lvlarstoj-.,s kills. �It ssndhusetts,to represent thet�ato Es before the Board of Health of the Toi�r of D.irrsl,(:alo,i.i connection with the above referenced property, i'lcas-?:be advised that the Ustate is under contract to seb the above referenced properC;r and-it) :7l,ar,'-closing sometime in March 2006, The purchaser or the prope,-ty is aware il:at c.:ill scptk :;SIOTT must be upgraded or re,�laced and will attend to iris,after be ta7:es title:to thc props:, t 311",you for your considcwlon in this matter. Ve s, �....�� EDWARD F. LiSTON,JR v Town of Barnstable s ro wVAMSTASM 163;9. Aye Regulatory Services Department Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO „r• February 27, 2006 Mr. Craig Larson 119 Route 149 Marstons Mills, MA 02648 Dear Mr. Larson, I am in receipt of your letter dated February 18, 2006 requesting an additional ninety days to replace the septic system at 739 Route 149. You stated that the previous owner. "expired" in May 2005 and that the house has not been used since that time. P I have no objection to granting the extension as requested subject to the home remaining vacant. Please inform the representative of the owner and the new buyer that the approval is subject to a written agreement from him/her stating that this home will remain vacant until such time the septic system is replaced. Sincerely, omas McKean, RS, CHO Director of Public Health P I * , Brokerage + r, ' i yehJ 0 keraleAe 119 Route 149 Marstons Mills, MA 02648 Saturday, February 18, 2006 Thomas McKean Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: 739 Route 149 Marstons Mills Dear Thomas: The Estate of Vincent Cook is hereby requesting an extension of your order dated Jan.19 2006 to hire a Professional Engineer within a ninety days. At this time I am asking for a extension of ninety days from the date of the closing of this property. I expect the closing to happen on or before March 30 2006. This property is under agreement to close and the new buyer will be making arrangements with a Engineer to repair/replace the septic system. The house at 739 Route 149 is need of repair and the cesspool needs to be replaced, The new buyer has expressed plans to either do the repair or replace the entire house structure as the present house dose need updating. As Mr Vincent Cook expired in May 2005 there has been no use of this house by him or his Heirs. And the use has been for years very seasonal. If you need any more information please feel free to call me any time. t Sincerely, 4f3� V 4 `Cr ig G. Larson C-0 I FEB-17-06 FRI 11:336 AM FAX N0, P. 02 ,,,., Town of Barnstable Regulatory Services `4(' Thomas F.Geiler,Director ?W-A U63 Public Health Division Thomas McKean,Director 'AN 1 2.005' 200 Main Street,Hyannis,MA 02501 011ice: 508-862-4644 Fax: 5084:70-6304 M.r° Vincent Cook P.() 11)x 368 Marstons ylills,MA 02649 NON-COMPLIANCE WITFI STATE ENVIRONMENTAL CODE TITLE, V, The soptic,system owned by you located at 739 }Route 149,Marstons Mills was ins'p,,vted on,December 12`h 2005;by Douglas A.Brawn, a certified septic inspector for thy:St,atc of Massachusetts. ,mn. i n..Pes;(.ion of your septic system showed that your system ha>cl"FAIL21)"under quid( k'41es of 1995 STITLE 5 (310 CMR 15.00)DUE TO T. E FOLLOW TING: Single cessrool,system automatically fails. You I:lre ordered to hire a professional engineer or registered sanitarian to i.jepatc a plane of p opow.d replacernalit septic system componcnts(s). This Man is to be.subinitt,�A to Ciw Town of Barnstable Public Health Division Office(Regulatory Services,200 Main Strcct, Hyannis),within(90)days receipt of this letter, The plan wii.1 bring the septic system into c.ompiiancc with 310 CMR 15,00,The State Environmental Code,Title V. Your are 4lso ordered to upgrade or replace the septic systcri with six months(1€0)days oFyour;receipt of this letter, Any perso;.z aggrieved by any order issued by the local approval aatbodty may appal to an/oali zt o competent jurisdiction.as provided for by the la-ivs of the Cornmonw alth, Ycit have the option of requesting an adjudicatoiy hearing.pu..suririt to 310 CMPI J a.42:r.. Failtim,to roinply with this order will automatically result in a public hearjag sclieduled 6cFo. y the Eoard of Health. PER OP-DER OF HE BOARD OF HEALTH r- f(iariras A; McKean,R.S., C.lI.O, Agent of tlic Board of Health FEB-17-06 FPI 12:53 PM FAX NO, P. 02 EDWAIRD IF. LISTON,JR , LLC A 1Vew Jerrey Limited Ua8ilffy Cornpgjy Aiiorneys at Law P.Q. Box t 056 207I100perAvelrue Tons lifer,New jerrey 09754-105G 732)2•1.1 S900 Pb 0'Box 1056 W)WARU F.I,I:'1'UN,JR. FAX (732)S05.8943 Turns River.,T�,IJ 08754-1056 F-MaiL Rrlmardls.,loaQYeriZon.nrt February 17,2006 Tov!,n of Barnstable Pub+c lealth Division 200 M0.in Strect llyanijis,Mfg 02601 F=: 739 Route 149 Marstons Mills,Massachusetts To Whom It May Concern: Plcase be advised that I represent the Estate of H. Vincent Cook,declascd. The pugio s4 o ft k letter is to luthorize Mr. Craig G. Larson,whose addross is 119 Rout,, 149,A/fsrstons Mill', t 1<assachusetts,to represent the Estate before the Board of Health of the'l`o» of Barnst.60le,iii connection with the above referenced property, Pic;as:-be advised that the Estate is under contract to sell the above referenced property au-d,'1"1t1f,'ipa10 closing sometime in March 2006. The purchaser of the prope,; y is aware t1,.nt fi'Fe septic stem must be upgraded or replaced and will attend to this after he tal'.:es title to the property, Thank you for your consideration in this matter. Ver s, EDWARD 17. LIST®N,JR. lil,:prl r�dn of Lana In /'aia-sicnsAe7lils-6ARns7Aialz-A4asa su4zvEYEO FO4 H. VI NG</JT COOK Saai�:lr,d,-60F�ef D.�ee.rar i;nit _ Ea KJrLLoQa CrvrL EJ-AM Oifer+.ifla " el 1 i z w �� Vv F N• rr'ncenl Coot Op it. dey�}7, e•• i ems- i I ! r O ~� P- do, Q�rt 5.16 7v.52 s COTUlT n From the Office of: STANDARD FORM Exclusive Brokerage of Cape PURCHASE AND SALE AGREEMENT cod 119 Route 149 Marstons Mills, MA 02648 This fX>z' day of December 20 o5 1. PARTIES Rita W. Cook & Wachovia Bank NA as trustees for the estate H. Vincent Cook c/o AND MAILING Erin K. Harrigan, VP, 40 Main Street, Toms River NJ 08753 ADDRESSES hereinafter called the SELLER, agrees to SELL and (fill in) James A. Olney 100 Bear Path Rangeley ME 04970 hereinafter called the BUYER or PURCHASER, agrees to BUY, upon the terms hereinafter set forth, the following described premises: Lots 1& 2 as per survey for H. Vincent Cook at 739 Cotuit Road Marstons 2. DESCRIPTION Mills, MA,consisting of 2.14+-acres together with the buildings thereon (fill in and include Deed Bk.1142,Pg.590. Lot 2 consisting of 3.0 acres+- Deed Bk.1017, title reference) pgs.484 & 485, both at the Barnstable County Registry of Deeds. 3. BUILDINGS, Included in the sale as a part of said premises are the buildings, structures, and improvements now thereon, STRUCTURES, and the fixtures belonging to the SELLER and used in connection therewith including, if any, all wall-to-wall IMPROVEMENTS, carpeting, drapery rods, automatic garage door openers, venetian blinds, window shades, screens, screen FIXTURES doors, storm windows and doors, awnings, shutters, furnaces, heaters, heating equipment, stoves, ranges, oil and gas burners and fixtures appurtenant thereto, hot water heaters, plumbing and bathroom fixtures, (fill in or delete) garbage disposers, electric and other lighting fixtures, mantels, outside television antennas, fences, gates, trees, shrubs, plants and,•-1L-=-4F- I� -�P�-•-FefFigerateFs--aiF-•eoraditioF►iFtg--egaipr�ef►t ventilators, dis�iwask�eFs;waslairag�aeMiraesafld-bi�er:s;•and .but.excludiag. 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the (fill in) nominee designated by the BUYER by written notice to the SELLER at least seven days "Include here by specific before the deed is to be delivered as herein provided, and said deed shall convey a good and clear record reference any restric- 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 party 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 (d) Any liens for municipal betterments assessed after the date of this agreement; encumbrances, and (e) Easements, restrictions and reservations of record, if any, so long as the same do not prohibit or make provision to protect materially interfere with the current use of said premises; SELLER against '(fl a s a single e family 1 home. BUYER's breach of g Y 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, if 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 900,000.00 (fill wed to write space is allowed Nine Hundred Thousand out the amounts if desired dollars,of which $ 89,000.00 have been paid as a deposit this day and $ 1,000.00 with Offer to Purchase dated November 22, 2005 $ 810,000.00 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). $ 900, 000.00 TOTAL COPYRIGHT©1979, 1984, 1986, 1987, 1988, 1991, Rev. 1999 All rights reserved. This form may not be copied or GREATER BOSTON REAL ESTATE BOARD reproduced in whole or in part in any manner Form ID:RA151 EQUAL HOUSING whatsoever without the prior express written consent OPPORTUNITY of the Greater Boston Real Estate Board. This form was treat Ra by Rh,i 1 a Ai e/..n-.. ..-..... .._anavn 8. TIME FOR Such deed is to be delivered at 2:00 o'clock P- M. on the sixteenth day of PERFORMANCE; December 2005 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. 9. POSSESSION and Full possession of said premises free of all tenants and occupants, except as herein provided, is to be CONDITION of delivered at the time of the delivery of the deed, said premises to be then (a) in the same condition as they PREMISE now are, reasonable use and wear thereof excepted, and (b) not in violation of said building and zoning (attach a list of laws, and (c) in compliance with the provisions of any instrument referred to in clause 4 hereof.The BUYER exceptions, if any) shall be entitled personally to enter 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 premises, PERFECT TITLE all as herein stipulated, or if at the time of the delivery of the deed the premises do not conform with the OR MAKE provisions hereof, then any payments made under this agreement shall be forthwith refunded and all other PREMISES obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties CONFORM hereto, unless the SELLER shall use reasonable efforts to remove any defects in title, or to deliver (Change period of possession as provided herein, or to make the said premises conform to the provisions hereof, as the case time if desired). may be, in which event the SELLER shall 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 thirty calender days. 11. FAILURE TO If 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 premises PERMISES shall refuse to permit the insurance proceeds, if any, to be used for such purposes, then any payments CONFORM, etc. 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 full OF DEED 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 said deed. 14. USE OF To enable the SELLER to make conveyance as herein provided, the SELLER may, at the time of delivery of MONEY TO 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 *$ as presently insured and amounts as (b) agreed) This form was created by Sheila Oishman using e-FORMS. a-FORMS is copyright protected and may not be used by any other party. 0 COPYRIGHT©1979,1984,1986,1987,1988,1991 GREATER BOSTON REAL ESTATE BOARD All rights reserved. I 16. ADJUSTMENTS Eelle6#ed-FeFrte; me4gage-4F4efefA-,,water and sewer use charges, epera#in@-a*Per16e60-arfyj-aG6e dieg•#o- (list operating ex- and taxes for the then current fiscal year, shall be penses, if any, or apportioned and fuel value shall be adjusted, as of the day of performance of this agreement and the net attach schedule) amount thereof shall be added to or deducted from, as the case may be,the purchase price payable by the BUYER at the time of delivery of the deed.•-Irae�Aeeted-;ea#s--fc -4 -EaFreF -rer�taE-{�eried-shalt-be a{spa#ior�®ci.i#ac�u�laar�coUest®db�eitGieF{�tjr.-- 17. ADJUSTMENT If the amount of said taxes is not known at the time of the delivery of the deed, they shall be apportioned on OF UNASSESSED the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the new tax AND rate and valuation can be ascertained; and, if the taxes which are to be apportioned shall thereafter be ABATED TAXES 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 Broker's fee for professional services of Forty-Five Thousand Dollars (fill in fee with is due from the SELLER to Exclusive Brokerage of Cape Cod who shall pay $22,500.00 to dollar amount or Rinlin Grover GMAC Real Estate upon recording of the Deed from Seller(s) to percentage;also Buyer(s) . name of Brokerage firrn(s)) the Broker(s) herein,-iDut4#-4he•5E-L4--E-RlufeaeFFt-te-t4e4eFats-e€t34ad6e-214%Fee€feteiras--Fie-depm#&•Riade �#efetfRflef-b�-t#�a•�ll-Y�F�,--c aid••Bfol�er{e}•sl�aN-be-entitled-tc�-Fe©e+ve•fforf�-t}ieSEL-��I�-ae-ar�xi#-egaaF•ta- -e+�e-#isi€#l►e•ereoaRt-so-Fetai+red•of-are-anxf+�nt:�gt�l-#o-4be-$FekeF�-fee-€c�F�ofessiape{•seF�iees-ac�6ortdieg. •#a•t#iis•ce�ttfaet-wl�iel�edeFto-t#�e•lessep- 19. BROKER(S) The Broker(s) named herein Exclusive Brokerage of Cape Cod & Rinlin Grover GMAC WARRANTY warrant(s)that the Broker(s)is(are)duly licensed as such by the Commonwealth of Massachusetts. (fill in name) 20. DEPOSIT All deposits made hereunder shall be held in escrow by Exclusive Brokerage of Cape Cod (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 may retain all deposits made under this agreement pending instructions mutually given in writing by the SELLER and the BUYER. 21. BUYER's If the BUYER shall fail to fulfill the BUYER's agreements herein, all deposits made hereunder by the BUYER DEFAULT; shall be retained by the SELLER as liquidated damagesalessr-witkr -tliif#y-mays-a#er--tlae-#iaae.#er DAMAGES �er#eFanEe-o#-this-agreeeF •ef-eFyf-exter�sier�-iiefec�#--t#ae-SE�� •etlieFwiee--na#i€ies--tFae1��f�-io-• and this shall be Seller(s) sole remedy in law or in equity. 22. RELEASE BY The SELLER's spouse hereby agrees to join in said deed and to release and convey all statutory and other HUSBAND OR 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 PARTY provisions 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 any SHAREHOLDER, 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 he REPRESENTATIONS relied upon any warranties or representations not set forth or incorporated in this agreement or previously (fill in);if none, made in writing, except for the following additional warranties and representations, if any, made by either the state "none";if SELLER or the Broker(s): any listed, indicate by whom each war- NONE MADE ranty or represen- tation was made This form was created by Sheila Dishman using e-FORMS. a-FORMS is copyright protected and may not be used by any other party. COPYRIGHT©1979,1984,1986 1987 1988 1991 GREATER BOSTON REAL ESTATE BOARD All rights reserved. 26. MORTGAGE In order to help finance the acquisition of said premises, the BUYER shall apply for a conventional bank or CONTINGENCY other institutional mortgage loan of$ at prevailing rates, terms and CLAUSE conditions. If despite the BUYER's diligent efforts a commitment for such loan cannot be obtained on or (omit if not before 20 the BUYER may terminate this agreement by written provided for notice to the SELLER and/or the Broker(s), as agent(s)for the SELLER, prior to the expiration of such time, in Offer to whereupon any payments made under this agreement shall be forthwith refunded and all other obligations Purchase) of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. In no event will the BUYER be deemed to have used diligent efforts to obtain such commitment unless the BUYER submits a complete mortgage loan application conforming to the foregoing provisions on or before 20 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. LEAD PAINT LAW The parties acknowledge that, under Massachusetts law, whenever a child or children under six years of age resides in any residential premises in which any paint, plaster or other accessible material contains dangerous levels of lead, the owner of said premises must remove or cover said paint, plaster or other material so as to make it inaccessible to children under six years of age. 29. SMOKE DETECTORS The SELLER shall, at the time of the delivery of the deed, deliver a certificate from the fire department of the city or town in which said premises are located stating that said premises have been equipped with approved smoke detectors in conformity with applicable law. 30. ADDITIONAL The initialed riders, if any,attached hereto,are incorporated herein by reference. PROVISIONS FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978, BUYER MUST ALSO HAVE SIGNED LEAD PAINT"PROPERTY TRANSFER NOTIFICATION CERTIFICATION" NOTICE: This is a legal document that creates binding obligations. If not understood,consult an attorney. SELLER kita w. Cook BUYER es A. Olney / — �� Taxpayer ID/ SELLER (or Spouse)wachovie Bank A BUYER Taxpayer ID/-' Taxpayer ID/ �., f � � r �l5l��llSlVe 6P,4 §K 0{ Otte(bd BROKER(S) This form was created by Sheila Dishman using e-FORMS. a-FORMS is copyright protected and may not be used by any other party. ® . COPYRIGHT©1979,1984,1986, 1987,1988,1991 GREATER BOSTON REAL ESTATE BOARD All rights reserved. Purchase & Sales Agreement Addendum A Seller: Rita W. Cook & Wachovia Bank NA, Trustee Estate of H. Vincent Cook c/o 9-piu K. Harrigan, VP Buyer: James A. Olney E.rirJ Premises: 739 Cotuit Road, Marstons Mills, MA Page 1 of 4 ADDENDUM A 31. INCORPORATED PROVISIONS The following changes are incorporated into the printed form to which this rider is attached: 110 Delete after"do not conform with the provisions hereof,then" any payments 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,unless And replace with: the SELLER shall And delete after"as the case may be" in which event the SELLER shall give written notice thereof to the BUYER at or before the time for performance hereunder Add to the end of Paragraph 10 after"thirty (30) days", and so long as same does not require the Seller to expend more than $5,000.00 130 See Addendum A attached hereto 32. HOME INSPECTION CONTINGENCY BUYER acknowledges that BUYER has inspected the premises which are the subject of this Agreement. BUYER waives any and all right of rescission under this paragraph, and is purchasing the premises to be conveyed pursuant to this Agreement in its "AS IS" condition. 33. APPLICABLE STANDARDS Any matter or practice arising under or relating to this Agreement which is the subject of a title, ethical, or practice standard of the Real Estate Bar Association Initials Y♦ Purchase & Sales Agreement Addendum A Seller: Rita W. Cook & Wachovia Bank NA, Trustee Estate of H. Vincent Cook c/o B*ia K. Harrigan, VP Buyer: James A. Olney Erw Premises: 739 Cotuit Road, Marstons Mills, MA Page 2 of 4 ("REBA")f/k/a Massachusetts Conveyancers Association shall be governed by such standard to the extent applicable,unless otherwise provided for herein. 34. AFFIDAVITS AND CERTIFICATES At the closing, Seller shall execute and deliver to Buyer the following documents: a. An affidavit stating that Seller is not a foreign person under Internal Revenue Code section 1445; b. An affidavit to Buyer and Buyer's title insurance company certifying that there are nb parties in possession of said premises and that no.work has been done on said premises which would entitle anyone to claim a mechanic's or material man's lien with respect to said premises; C. Internal Revenue Code Section 1099 Forms and W-9 Forms; d. An affidavit representing that there is no urea formaldehyde foam insulation on or in said premises; and e. A smoke detector certificate pursuant to the requirements of M.G.L. c. 48, §26F. 35. ADDITIONAL TITLE MATTERS AND CONDITIONS TO BUYER'S OBLIGATIONS The Buyer's obligations hereunder are contingent upon the following: a. All structures and improvements on the Premises,including,but not limited to, all septic systems, driveway(s), garage(s),and all means of access to the Premises, are wholly within the lot lines of the Premises and do not encroach upon or under any property not within such lot lines; b. No building structure, improvement or property of any kind either encroaches upon or under the Premises from other properties; C. The Premises abut, or have legal.access to,a public way duly laid out or accepted as such by the Town or City in which said Premises are located; d d. No proceeding for the exercise of the power of eminent domain with respect to the Premises or any part thereof is pending. Initials 1�L� ro Purchase & Sales Agreement Addendum A Seller: Rita W. Cook & Wachovia Bank NA, Trustee Estate of H. Vincent Cook c/o Brin K. Harrigan, VP Buyer: James A. Olney Erinl Premises: 739 Cotuit Road, Marstons Mills, MA- Page 3 of 4 36. NOTICE All notices required or permitted to be given hereunder shall be in writing and delivered in hand, or sent by Federal Express or other recognized overnight delivery service, or mailed postage prepaid,by registered or certified mail, addressed to Buyer or Seller at the address specified below or to such other address as shall be designated by written notice given to the other party. Any such notice shall be deemed given when so delivered in hand or,if sent by Federal Express or other recognized overnight delivery service, on the next business day after deposit with said delivery service, or,if so mailed,five.(5)business days after deposit with the U.S. Postal Service. Simultaneously with.said mailing, a copy of any Notice should be sent by Facsimile to Buyer's and Seller's Attorneys at the numbers listed below. To Seller: Rita W. Cook Wachovia Bank NA,Trustees of the Estate of H. Vincent Cook c/o Brin K. Harrigan,VP 40 Main Street Toms River,NJ 08753 To Buyer: James A. Olney 100 Bear Path Rangeley,ME 04970 Seller's Attorney: Edward Liston,Esq. Attorney at Law 207 Hooper Avenue P.O. Box 1056 Toms River,NJ 08754-1056 Tel: (732) 24475900 Fax: (732) 505-8948 Buyer's Attorney: Kate Mitchell,Esq. P.O. Box 160, 761 Main Street West Barnstable,MA 02668 Tel: (508) 362-1369 Fax: (508) 362-1368 37. FACSIMILE SIGNATURES Facsimile signatures shall be binding as original signatures and duplicate signature pages may be attached as one agreement. The parties agree that the original signatures are to follow and be exchanged within seven days from date of signing. Initials �r�Y� i Purchase & Sales Agreement Addendum A Seller: Rita W. Cook & Wachovia Bank NA, Trustee Estate of H. Vincent Cook c/o gi4m• K. Harrigan, VP Buyer: James A. Olney Earn; Premises: 739 Cotuit Road, Marstons Mills, MA Page 4 of 4 38. OFFER The memorandum executed by the parties hereto, entitled"Offer to Purchase Real Estate", dated November 22, 2005 is hereby superseded and shall have no further force and effect. 39. EXTENSION AUTHORITY BUYER and SELLER grant to each's respective attorney's authority to extend the time for performance herein unless written notice of revocation is received by said attorney. Initials a� PURCHASE AND SALE AGREEMENT, ADDENDUM B Sellers: Rita W. Cook and Wachovia Bank, N.A., Executors of the State of H. Vincent Cook, c/o Erin K. Harrigan, VP of Wachovia Bank, N.A. Buyer: James A. Olney Premises: 739 Cotuit Road, Marstons Mills, MA, 40. Buyer and Seller warrant and represent.to one another that the only real - estate brokers involved in this transaction are those listed at paragraph 18 of the . Purchase and Sale Agreement. 41. All parties understand that this Agreement is contingent upon the Allowance of the Foreign Will and Appointment of Rita W. Cook and Wachovia Bank as Co-Executors for Massachusetts Probate purposes. Seller shall make application for said Allowance of the Foreign Will and the Appointment of Rita W. Cook and Wachovia Bank as Co-Executors on or before December 30, 2005 and shall proceed with due diligence to request a hearing pursuant to M.G.L.A. ch 192, sec 9. The parties further understand that this Agreement is contingent upon the Executors obtaining a Certificate of Release of Estate Tax Lien, Form M-792, from the Department of Revenue, prior to the date for closing. Seller shall make application for the Certificate of Release of Estate Tax Lien from the Massachusetts Department of Revenue on or before December 30, 2005. The Seller shall request an expedited review by said Department of Revenue. The date for closing, under paragraph 8 herein shall be extended until five days from receipt of the Certificate of Release of Estate Tax Lien or the Allowance of Foreign Will and Appointment of Rita W. Cook and Wachovia Bank as Co- Executors, whichever shall occur last. If despite Seller's diligent efforts, said Certificate of Release of Estate Tax Lien or the Allowance of Foreign Will and Appointment of Rita W. Cook and Wachovia Bank as Co-Executors cannot be obtained on or before February 22, 2006, unless otherwise agreed by Buyer and Seller in writing, Buyer may terminate this agreement by written notice to Seller pursuant to paragraph 36 herein on or before March 1, 2006, that day being the final date for the delivery of the deed; whereupon any payments 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 said parties. This paragraph 41 supercedes paragraph 10 of this agreement thereby rendering paragraph 10 null and void solely with respect to Seller's,obligation to obtain and provide Buyer with said Certificate of Release and Allowance and Appointment. In all other respects, paragraph 10 shall remain in effect, as modified in Addendum A. 42. Until the closing date, Buyer shall have the right to use and occupy the premises at no cost to Buyer. Seller and Buyer agree to the following with respect to Buyer's use and occupancy: . • Purchase and Sale Agreement,Addendum B 739 Cotuit Road, Marstons Mills, MA Page 2 of 2 a. The premises shall be rented in an "as is" condition with Buyer assuming all risk to his person or his property, and those of his family members,.guests, and invitees. Seller has no responsibility to maintain or repair the premises. b. Buyer shall pay all services including but not limited to electricity, heating fuel, telephone, cable, rubbish disposal, tenant's insurance and other similar expenses incurred with respect to Buyer's- occupancy of the premises. C. Buyer may, at his sole cost and expense, make or cause to be made changes, alterations, and/or improvements to any part of the premises. d. Buyer and Seller agree that this paragraph 42 does not establish a relationship of landlord and tenant between Buyer and Seller, but rather constitutes a license by Buyer and Seller which Buyer may forthwith revoke if Seller does not perform Seller's obligations under paragraph 41 herein on or before the date provided in said paragraph 41. e. If this Agreement is terminated pursuant to paragraph 41 herein, Seller hereby authorizes escrow agent to forthwith refund Buyer any payments made under this agreement, whereupon Seller shall take possession of the premises in its "as is" condition as of the date of notice of termination pursuant to paragraph 36, Buyer shall not be required to return the premises to the condition existing prior to the commencement of his use and occupancy. All other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. 43. VENUE The parties agree that all actions concerning this Agreement shall be brought in the District Court Department or the Superior Court Department of the Trial Court, Commonwealth of Massachusetts, Barnstable Division, to the extent that said Court shall have jurisdiction of the subject matter in any such action. 02/17/2E06 12.:44 50B362136B KATE MITCHELL ESQ FAGE 04 _. F£B-17-06 FRI 10:19 AM FAX NO, P. U2 " 'WIS/260e 16:24 8083621368 KATE MITtVELL, EW PAGE 04 KATE NUTCHEU At miq at Law 791 Ma1a SmV P.O.aox t60 bleat Barb$bbl®.NA 02"t (508)362•1309(Mk e) (508)36Z-1369(PfA6hhi1e) ^+vw�.at��uoi(�.�elllrw.cvm k�'»tnlac:h�ta®con�s��t,b'�et Nautur. et,MA Kimkmrty A.Dupuis (50f)MONT ��f31 F�a�orta�+ !6,2�06 Attu q at Law 207 H1,4per Avenue 0m,Rives,NJ 08753 ,: Cook to Oar D ar Aftom,%y List4m: since it Se"e m$nwst uwikely that tht:closing wieU twm piece 6A Iyumb8'", may this lcs n $5 a fe guest^0 caftad tW date UW time for perfocmeam and doEvely of dw r-W asod payW49111 of tiro�Wchmc price until WedeeaWY,Mx eh 22,M. in aril other re Wtt�,the pq'mhst�t�iGla1 Sale.himICEUCnt Gm=U al an lkvomtar 16,2ms shall mnain it,fill farce acre;offwt, Pot "fAt to YGUr powers wider parapaph 39 of the pmbase 6td Sale gavot�ii,t�nta' sdteeaate»t to the above b s � Awn'=M+f 1trc�st;ixtx��t.a,Te y 1ping this letW and Mumlog it to me by Thwig.,;you. Sinxrol�►, Kate Mit i , MARSTONS MILLS MIDDLE POND �80LUD HILL 4� SHUBAEL I. ir-'s �� 11 BVW BORDER OF VEGETATED PONDWETLAND FLAGS ei BY TAVARES LAND DESIGN HAMBLIN 5/12i06 (1 HAMBLIN D POND �. LOCUS POND Q ,00if LOT 1 ^a A.M. 101 N _,� I �\ PAR. 004 - OLD FALrAouTH ROAD TOP OF WATER \ N63• (NORTHERN HALF) ELEV.=42.5' mA s63 (VACANT) LOCUS MAP o GAR. — \ LAUNDRY \ °4 PLAN REF: 167/35 LEACH PIT SHED APPROX. LOCATION `\ o_ (TO BE PUMPED OF CESSPOOL TO BE PUMPED ) DEED REFS 1"142/590 FILLED W/SAND W 0' FILLED W/SAND) NO TIE CARD / ZONING: RF ASSESSORS MAP: 101 PARCEL 004 ATERUNE TO BE SLEEVED / \ FLOOD ZONE: "C" B OR MOVED AS NECESSARY GROUNDWATER PROT. OVERLAY DIST. FOR 10' SEPARATION `10" � \\ 33' OAK �\ �Q O / "s H6ljS` 's 56.0 ° H�20 0 /��\/ till/ / A OM T101 I ;#739;; TANK tEANO c�'� / FN 11 D. PAR. 004 l;E;!;=�6:��• ��_. G �? SOUTHERN HALF) 6° (SOUTHERN \� 57..3, TP o �2��� UPLAND AREA=88,995t S.F./2.04 ACRES \ \ \ SEPTIC SYSTEM o /TOTAL AREA=96,036t S.F./2.20 ACRES W z�� � #4 DB-5 ✓��'/ REPAIR/UPGRADE PLAN tg 2 B° w Tp "E �, ��� \ LOCATED AT: S84"06'20 N N �,�/ t / #739 ROUTE 149 � _--� � MARSTONS MILLS, MA. evw 10—20 10.0' I STANDING \�� \ �� o PREPARED FOR APPLICANT: PUMP i WATER \� 1 ' I WATER EXISTING CHAMBER S7 l•S4' METER i M ry 2-BEDROOM Sp E ' ELEV.=42.5 ; 1 1 ' ' ' ' ' 1 I Na DWELLING 1 ' J I M O L N E Y A.M. 101 l�� 366. I •'S '�h S �L PAR. 003 \`� � �� lb lI • 6 (HOUSE #699) JUNE 10, 200 ►AAA P► A� SCALE: 1 "=50' 1� ALTH OF yj •�V ' LEGEND o��E Glsr ass9 i'' UTILITY POLE �TEPhE(V� ��J' . .'� o � MacDougall Surveying i ' FIRE HYDRANT DOY� Cn' & Associates �yo �l #375F _� 1�-,` 8 RUC E G� ©BYO' BORDER OF VEGETATED WETLANDS �i�q� ss10�P� e IQ MURPHY P•0• BOX 2428 Mashpee, Ma. 02649 U, Its�� No. 749 PH. 508 419-1086 SOIL TEST PIT .' �.'FEGtSTE��� fax (508)419-1087 - gy�r I email: macdougallsurvey@comcast.net SHEET 1 OF 2 J# 1049 r ' 4" SCHEDULE 40 P.V.C. OR EQUAL 4" SCHEDULE 40 P.V.C. PROFILE OF TOP OF FOUNDATION MIN. PITCH 1/4" PER FOOT MIN. PITCH 1/8" PER FOOT ELEV.=56.33' 56.0' SEWAGE DISPOSAL SYSTEM 10' MINIMUM (NOT TO SCALE) 2" LAYER OF i 1/a" - 1/2" WASHED STONE .. EL= 58.0 EL= 58.0 OR FILTER FABRIC ...... ., CLEANOUT CONC. CONC. RISER RISER ec QUICK DISCONNECT ............................... COVER COVER 2" PVC DISCHARGE CONC. INVERT " INVERT RISER do EL= 57.3 �,�� CLEAN SAND FILL 9, EL= 51.45 LINE To D-Box 2" CLASS 150 CovER LEVEL PER 31Q CMR 15.255 zi PRESSURE PIPE FOR 2 LONG€ST RUN ��`�' MIN. LOW LINE PRESSURE TESTED) 18.G 5-0.01 EL= 58.1 aEL= TING 10" INVERT RT INVERT 1MIN: 14" INVERT INVERT , °° r O L-7 O C= O O o°O°' °°o 53.68 EL= 52.00 4' EL= 51.75 EL= 51.2 EL= 57.73 a �Mv INVERT 24" o°° °° O OOC7 C� O O O O mo°° GAS ALARM ON AT 24" N EL= 57.48 0 B o� BAFFLE 1/4" WEEP HOLE IN 6" BASE OF CRUSHED STONE OR °° °° °� EL= 55.3 #2 PUMP ON AT 17" DISCHARGE PIPE MECHANICALLY COMPACTED PROP. DB-5 8 5' 4.0' #1 AT 12" PUMP OFF 2" SUMP 2" BALL CHECK VALVE 4.0' (TYP 6" BASE OF CRUSHED STONE OR 6" BASE OF CRUSHED STONE OR DISTRIBUTION 42.0' MECHANICALLY COMPACTED MECHANICALLY COMPACTED BARNES SE411 PUMP 0.4 HP 115V �� �� , „ , „ , „ PROPOSED 1,000 GAL. 2" DISCHARGE PASSING 1-1/2" SOLIDS BOX W/ T 4-500 GAL. DRY WELLS (4 -10 X 8 -6 X 2 -9 ) PROPOSED (H-20) SIMPLEX (H-20) a/4" TO 1-1/z" N 1 ,500 GALLON TANK PUMP CHAMBER WASHED STONE SOIL ABSORBTION (TRENCH FORMATION) PUMP SHALL BE FLOAT ACTIVATED SET PER INTERVALS SHOWN. SYSTEM (S.A.S.) 12.83' X 42.00' ALARM LIGHT SHALL BE IN A WITHIN THE DWELLING AND SHALDL BE POWEREDCBYYUA CRCU1ITON BOTTOM OF TEST HOLE ELEV.= 48.6' SEPERATE FROM THE PUMP POWER SUPPLY. (NO GROUND WATER) OBSERVATION HOLE #1 EL.=60.6 TOP OF STANDING WATER ELEV.= 42.5' GENERAL NOTES PERCOLATION RATE <2 MIN./IN. BOTTOM AT 62" TEST PIT RESULTS: 60.6 IELEV. DEPTH (IN.) HORIZON TEXTURE EOY OR MOTTLING OTHER " ORGANIC ____ SOIL TEST DATE: 05 05 06 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P., 60.35 0-3� 0 -- ------ B.O.H. AGENT: DON. DESMARAIS, R.S. TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS 601 3-6 SANDY LOAM4 ----- --- FOR SUBSURFACE DISPOSAL OF SEWAGE. 58.1 6-30" LOAMY SAND 6 6 ------ --=- SOIL EVALUATOR: BRUCE G. MURPHY, R.S. 2. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE 48.6 30- . S 6 ------ PERC EXCAVATOR: J.C. AALTO CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE NO GROUNDWATER 'ENCOUNTERED UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY OBSERVATION HOLE #2 EL.=60.6 * NOTE: NOTIFY MACDOUGALL SURVEY 48 HOURS PRIOR TO INSPECTION MUST WITHSTAND H-20 LOADING. 3. UTILITIES SHOWN ON PLAN ARE APPROXIMATE ONLY, 60 ELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER THE EXCAVATION CONTRACTOR SHALL CALL DIG-SAFE AT 60.35 0-3" 0 ORGANIC ----- ------ ---- DESIGN DATA: 1-800-322-4844 AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION 60.1 3-6" A SANDY LOAM 10YR4 1 TO VERIFY LOCATION 58.1 6-30" B LOAMY SAND Joy 6 ------ ---- NUMBER OF BEDROOMS(EXIST.)...__? 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 48.6 3 -144" Cl ED. SAND 10Y 8 e ------ ---- NUMBER OF BEDROOMS(FUTURE)...._ 3 5. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE NO GROUNDWATER .ENCOUNTERED GARBAGE DISPOSAL................. NO OVER THE S.A.S. AND DISTRIBUTION SOX. # TOTAL ESTIMATED FLOW OBSERVATION .HOLE 3 EL.=62.2 6. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF (110 GAL./BR./DAY X 5 BR.) __550 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE PERCOLATION RATE <2 MIN./IN. BOTTOM AT 60 550GPD X 200% 1100 GAL THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND ELEV. DEPTH (IN. HORIZON TEXTURE COLOR MOTTLING OTHER USE 1500 GAL. SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. „ 7. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. 6 9 INSTALL: 4-500 GAL. DRY WELLS (W/4' CRUSHED STONE 8. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS 61.7 6- " A SANDY LOAM 10YR4/1 __B LOAMY SAND 10YR6 6 ----- ---- ___ ON THE SIDES, 4' ON THE ENDS) BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4" PVC. SAND 9. LOCUS PARCEL 004 ON ASSESSORS MAP 101 IS NOT AFFECTED BY __---- PERC SOIL CLASSIFICATION................ NO GROUNDWATER ENCOUNTERED A SPECIAL FLOOD HAZARD AREA. DESIGN PERCOLATION RATE..,.. <2wIIN�(IN. 10. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION OBSERVATION HOLE #4 EL.=62.2 EFFLUENT LOADING RATE.........__74_-_ TO MACDOUGALL SURVEYING FOR B.O.H. AND DESIGN ENGINEERS REVIEW REQUIRED LEACHING CAPACITY.....550 GAIDAY AND APPROVAL. 62.2 JELEV. DEPTH (IN.) HORIZON TEXTURE COLOR MOTTLING OTHER LEACHING CAPACITY PROVIDED.....561_04 GAL/DAY 11. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 5 - " ----- ----- ' • _ SIDEWALL: (12.83' + 42')x2x(2 SIDES)(.74)= 162.29 GAL/DAY ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING - ---- --- BOTTOM: 12.83' x 42' .74 = 398.75 GAL DAY WORK ON THE SITE. 59.7 6-30" B LOAMY SAND 10YR6 6 ------ ---- ( )( ) / 12. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE - ------ ---- TOTAL= 561.04 GAL/DAY WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT NO GROUNDWATER ENCOUNTERED IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. JUNE 10, 2006 SHEET 2 OF 2 J# 1049 I